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Gilchrist IC - AIMRADIAL 2013 - Legal aspects
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Perspectives from the interventional cardiologist

Perspectives from the interventional cardiologist

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Gilchrist IC - AIMRADIAL 2013 - Legal aspects Presentation Transcript

  • 1. Medical Legal Radial Ian C Gilchrist, MD, FACC, FSCAI Professor of Medicine Pennsylvania State University Heart & Vascular Institute Hershey, PA 2nd Advanced International Masterclass AIM-RADIAL 2013
  • 2. CME Disclosure Statement AIM-RADIAL 2013 Nothing
  • 3. Left Main Coronary Dissection AIM-RADIAL 2013 August 30, 2013 34 yo woman died of coronary artery dissection due to “routine” cardiac catheterization. It was a femoral case
  • 4. Common Features of Suits AIM-RADIAL 2013 Something bad happened Communications Event was not expected
  • 5. AIM-RADIAL 2013 In the Beginning When Risk, Benefits, and Skill sets unclear
  • 6. AIM-RADIAL 2013 Example 1
  • 7. AIM-RADIAL 2013 Example 2
  • 8. Example 3 AIM-RADIAL 2013
  • 9. Improper Management of RAO AIM-RADIAL 2013 Radial occlusion surgical consultationinappropriate actions Resulting in iatrogenic, collateral neurologic injury
  • 10. Radial Matures AIM-RADIAL 2013 What is going to happen to the femoral operator?
  • 11. What about the Legacy Operators? AIM-RADIAL 2013
  • 12. Risk, Benefits & Alternatives AIM-RADIAL 2013 Femoral Only Operator
  • 13. AIM-RADIAL 2013 Food for Thought How best to legally manage: The Radial Learner Legacy Femoralist