Is your patient appropriate for Protected PCI?

Use the following form to determine if a patient may be appropriate to receive a Protected PCI procedure. The criteria for selection is based on a number of FDA Safety & Efficacy labeling, randomized control trials, society guidelines and consensus documents made available following the completion of the form.
Begin

  • Are any of the following conditions present in the patient?

  • Is evidence of severe coronary artery disease present in the patient?

  • Are any of the procedure based risks present in the patient?

  • Are any of the hemodynamic risks present in the patient?

  • Are any of the co-morbidities present in the patient?

  • Are any of the following surgical risks associated with the patient?

  • Are any of the following contraindications present in the patient?

  • This field is for validation purposes and should be left unchanged.