Protected PCI Referral Criteria Tool Patient Identification Patient Selection Tool Clinical Evidence The Procedure Patient Management Referring Provider Referral Criteria Tool Protected PCI Referral Criteria Tool See if your patient may benefit from a referral for an Impella®-supported procedure. Reduced/Low Ejection Fraction (EF) Preserved Borderline Reduced None of the Above High-Risk Hospital Admission(s) for Heart Failure Ineligible for Cardiac Surgery Graft Failure (Prior Coronary Artery Bypass Graft) Heart Failure - Chronic Refractory or Chronic Unstable Angina Increasing SOB due to CAD/Worsening Edema Severe Coronary Artery Disease Kidney Disease - Chronic None of the Above Additional Risk Factors History of Myocardial Infarction (MI) Diabetes Hypertension Uncontrolled Dyslipidemia (with elevated LDL) Inability to Tolerate Optimal Medical Therapy Decreased Ability to Perform ADLs Smoking and/or COPD None of the Above Inability to Tolerate Optimal Medical Therapy Anti-Anginal Heart Failure NPS-2854
