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Malpractice litigation in the endovascular era.

Kenny Oh¹, Goda Savulionyte¹, Satish Muluk²

¹Division of Vascular Surgery, Temple University School of Medicine, Philadelphia, Pa.

Journal of Vascular Surgery

|February 7, 2018

Summary

This summary is machine-generated.

Medical malpractice litigation involving endovascular procedures shows specialty-specific trends. Interventional cardiologists face the highest lawsuit rates, often for coronary interventions, while vascular surgeons have cases related to minor procedures.

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Area of Science:

Medical Law and Ethics
Vascular Surgery
Interventional Radiology
Interventional Cardiology

Background:

The standard of care for vascular disease is evolving with advancements in endovascular therapies.
The adaptation of medical malpractice litigation to the
endovascular era
remains unclear.

Purpose of the Study:

To comprehensively analyze malpractice litigation involving endovascular procedures performed by vascular surgeons (VSs), interventional radiologists (IRs), interventional cardiologists (ICs), and cardiothoracic surgeons (CTSs).
To identify trends and differences in litigation across these specialties.

Main Methods:

Retrospective review of US legal databases (LexisNexis, Westlaw) for cases up to 2016.
Keywords included "malpractice," "vascular," "endovascular," and specific procedure terms.
Cases were analyzed using χ² test, excluding non-malpractice disputes.

Main Results:

369 cases were analyzed; Interventional Cardiologists (ICs) had the highest lawsuit rate (105.56 per 1000 physicians), primarily for coronary interventions (93%).
Vascular Surgeon (VS) cases often involved diagnostic angiography and IVC filter placement (46%).
Overall, 83% of verdicts favored defendants; allegations varied significantly by specialty, with informed consent/preprocedure negligence common for VSs and cardiothoracic surgeons (CTSs), and intraprocedure negligence for IRs.

Conclusions:

Significant interspecialty differences exist in malpractice allegations for endovascular procedures.
Clinicians should be aware of legal considerations as endovascular procedures expand.
A large proportion of VS malpractice cases involved seemingly minor procedures, and most IC cases were coronary-related.