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. Author manuscript; available in PMC: 2015 Nov 5.
Published in final edited form as: J Am Coll Cardiol. 2012 Jun 11;60(3):242–276. doi: 10.1016/j.jacc.2012.02.009

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 (e.g., 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 (e.g., 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.