Medical Legal Radial
Ian C Gilchrist, MD, FACC, FSCAI
Professor of Medicine
Pennsylvania State University
Heart & Vascular...
CME Disclosure Statement
AIM-RADIAL 2013

Nothing
Left Main Coronary Dissection
AIM-RADIAL 2013

August 30, 2013

34 yo woman died of coronary artery dissection due to “rou...
Common Features of Suits
AIM-RADIAL 2013

Something bad happened
Communications

Event was not expected
AIM-RADIAL 2013

In the Beginning

When Risk, Benefits, and Skill sets unclear
AIM-RADIAL 2013

Example 1
AIM-RADIAL 2013

Example 2
Example 3
AIM-RADIAL 2013
Improper Management of RAO
AIM-RADIAL 2013

Radial occlusion surgical consultationinappropriate actions
Resulting in iat...
Radial Matures
AIM-RADIAL 2013

What is going to happen to the femoral operator?
What about the Legacy Operators?
AIM-RADIAL 2013
Risk, Benefits & Alternatives
AIM-RADIAL 2013

Femoral Only Operator
AIM-RADIAL 2013

Food for Thought
How best to legally manage:
The Radial Learner

Legacy Femoralist
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Gilchrist IC - AIMRADIAL 2013 - Legal aspects

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Perspectives from the interventional cardiologist

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Gilchrist IC - AIMRADIAL 2013 - Legal aspects

  1. 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. 2. CME Disclosure Statement AIM-RADIAL 2013 Nothing
  3. 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. 4. Common Features of Suits AIM-RADIAL 2013 Something bad happened Communications Event was not expected
  5. 5. AIM-RADIAL 2013 In the Beginning When Risk, Benefits, and Skill sets unclear
  6. 6. AIM-RADIAL 2013 Example 1
  7. 7. AIM-RADIAL 2013 Example 2
  8. 8. Example 3 AIM-RADIAL 2013
  9. 9. Improper Management of RAO AIM-RADIAL 2013 Radial occlusion surgical consultationinappropriate actions Resulting in iatrogenic, collateral neurologic injury
  10. 10. Radial Matures AIM-RADIAL 2013 What is going to happen to the femoral operator?
  11. 11. What about the Legacy Operators? AIM-RADIAL 2013
  12. 12. Risk, Benefits & Alternatives AIM-RADIAL 2013 Femoral Only Operator
  13. 13. AIM-RADIAL 2013 Food for Thought How best to legally manage: The Radial Learner Legacy Femoralist

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