Complex ethical and significant economic issues are encountered in the practice of interventional cardiology. The interventionalist must strive to carefully assess the indications, benefit/risk ratio, and quality of life implications of planned therapy, and communicate this best estimate to the patient in understandable terms that allow informed patient involvement in decisions regarding revascularization strategy. When investigational devices are contemplated, institutionally approved protocols should be utilized by individuals without potential conflict of interest. At the same time, when not in conflict with ethical decisions, economic consequences of device selection must be considered as well.
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