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 FDA safety and efficacy labeling, randomized control trials, society guidelines and consensus documents made available following the completion of the form.
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  • 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.