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- Title
Adverse Events in Carotid Endarterectomy From a Medicolegal Perspective.
- Authors
Svider, Peter F.; Vidal, Gian-Paul; Zumba, Osvaldo; Mauro, Andrew C.; Haser, Paul B.; Graham, Alan; Rahimi, Saum
- Abstract
Objectives: Characterize factors raised in carotid endarterectomy litigation. Methods: Outcomes, alleged causes of malpractice, and other factors were evaluated. Results: Of the 37 verdicts and settlements, defendants were not liable in 25 (67.5%) cases. Frequently reported complications included stroke (51.3%) and hypoglossal nerve injury (27.0%), with other complications including airway compromise, vocal cord injury, and death. No cases reported myocardial infarction. Cerebral monitoring was mentioned in 2 cases, while inadequate informed consent, delayed diagnosis, and requirement of additional surgery were alleged in numerous instances. Settlements and jury awards averaged US$895 833 and US$1.53 million, respectively. Conclusions: Stroke and hypoglossal nerve injury are the most frequently litigated complications, and mean damages awarded were considerable. Knowledge of issues raised in our analysis may be included in a comprehensive consent process, potentially minimizing liability and improving patient safety.
- Subjects
UNITED States; DAMAGES (Law); FISHER exact test; JURISPRUDENCE; LEGAL liability; MALPRACTICE; SURGICAL complications; DESCRIPTIVE statistics; CAROTID endarterectomy; MANN Whitney U Test
- Publication
Vascular & Endovascular Surgery, 2014, Vol 48, Issue 5/6, p425
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574414544382