Table 8.1.

Evaluation for Upper Extremity PAD—Potential Signs and/or Symptoms

Indication		Appropriate Use Score (1–9)
142.	• Arm or hand claudication	A (8)
143.	• Finger discoloration or ulcer	A (8)
144.	• Unilateral cold painful hand	A (8)
145.	• Raynaud’s phenomenon	U (5)
146.	• Suspected positional arterial obstruction (eg, thoracic outlet syndrome)	A (7)
147.	• Upper extremity trauma with suspicion of vascular injury	A (8)
148.	• Discrepancy in arm pulses or blood pressure discrepancy of >20 mm Hg between arms	U (6)
149.	• Periclavicular bruit	U (5)
150.	• Pre-op radial artery harvest (eg, for CABG)	A (7)
151.	• Presence of pulsatile mass or hand ischemia after upper extremity vascular access	A (8)
152.	• Presence of bruit after upper extremity access for intervention	A (8)

A = appropriate; CABG = coronary artery bypass graft; PAD = peripheral artery disease; U = uncertain.