Ronald Bentley

“During the inquest the Consultant [name redacted], gave evidence that before the procedure it had not occurred to him that in performing the procedure with conscious sedation there is a risk that if the patient breathes deeply at the 4 or so points when the sheath is open air could enter the vascular system”

“the Coroner's concern is that unless this risk is widely known, and safeguards introduced as a consequence, there continues to be a risk that patients at other Cardiac Centres could suffer the same complication”