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edited by John J. Bergan and James S. T. Yao, 609 pp, with illus, New York, Grune & Stratton Inc, 1983.

RONALD J. STONEY, MD, Reviewer
San Francisco

Arch Surg. 1983;118(7):882.

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Dedicated to the memory of Edwin J. Wylie, pioneer vascular surgeon, Cerebrovascular Insufficiency is a compilation of presentations of the contributing faculty at the most recent Northwestern University (Chicago) postgraduate course in vascular surgery. This text contains 38 chapters by 75 authors and provides a comprehensive review of the stroke problem. The contents can be divided into eight parts, which include (1) the history of carotid surgery; (2) the basic aspects of atherosclerosis and pathophysiology of cerebral ischemia; (3) radiologic and noninvasive diagnostic studies; (4) surgical management of carotid, vertebral brachiocephalic, and intracranial arterial lesions; (5) specialized intraoperative management techniques such as shunting and evaluation of cerebral blood flow; (6) unusual problems in extracranial vascular disease such as fibromuscular disease, arteritis, and simultaneous carotid and coronary disease; (7) neurologic and hypertensive complications following carotid surgery; and (8) long-term results following carotid endarterectomy.

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