Table 8.1

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

IndicationAppropriate Use Score (1–9)
142.• Arm or hand claudicationA (8)
143.• Finger discoloration or ulcerA (8)
144.• Unilateral cold painful handA (8)
145.• Raynaud's phenomenonU (5)
146.• Suspected positional arterial obstruction (e.g., thoracic outlet syndrome)A (7)
147.• Upper extremity trauma with suspicion of vascular injuryA (8)
148.• Discrepancy in arm pulses or blood pressure discrepancy of >20 mm Hg between armsU (6)
149.• Periclavicular bruitU (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 accessA (8)
152.• Presence of bruit after upper extremity access for interventionA (8)

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