HeartFlow Analysis Interpretation Form

Please complete the information below to generate an interpretation report. We will not save this information, so please download and save the PDF report once generated.

To view examples of what an interpretation of a HeartFlow Analysis can look like, please download our Interpretations guide provided by Dr. Jonathon Leipsic.

View three case examples interpreted by:

Dr. Jonathon Leipsic, FRCPC, FSCCT
Past President of SCCT

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Performing Provider

Ordering Provider

Date of FFR_CT

Date of Dictation

Patient Name

Patient Sex

MaleFemale

Patient DOB

HeartFlow ID

Methods

Indications

Signs and Symptoms of CAD

Pre-test probability of CAD

CTA Impression

Findings

Please select all that apply.

Left Main The Left Main has .

LAD The LAD has .

Additional statements, select if they apply: The LAD is a small vessel at the location of the stenosis and FFR_CT. The LAD has a distal FFR_CT value ≤0.80. This value is not associated with a specific stenosis and therefore may not warrant an ICA or PCI.

LCX The LCX has .

Additional statements, select if they apply: The LCX is a small vessel at the location of the stenosis and FFR_CT. The LCX has a distal FFR_CT value ≤0.80. This value is not associated with a specific stenosis and therefore may not warrant an ICA or PCI.

RCA The RCA had excessive artifact on CT, and therefore FFR_CT values are not shown. The RCA has .

Additional statements, select if they apply: The RCA is a small vessel at the location of the stenosis and FFR_CT. The RCA has a distal FFR_CT value ≤0.80. This value is not associated with a specific stenosis and therefore may not warrant an ICA or PCI.

Optional

Please select all that apply.

The has .

Impression

Please select one.

Anatomical stenosis in with lesion-specific abnormal FFR_CT ≤0.80. Consider ICA with possible revascularization.

Anatomical stenosis in a small vessel with lesion-specific abnormal FFR_CT ≤0.80. Integrate location, symptoms, and comorbidities to guide cath lab referral or medical therapy.

Anatomical stenosis in with borderline, grey-zone FFR_CT 0.76-0.80. Integrate location, vessel size, symptoms, and comorbidities to guide cath lab referral or medical therapy.

Anatomical stenosis with lesion-specific FFR_CT >0.80. Consider medical therapy as front-line strategy.

Anatomical stenosis with lesion-specific FFR_CT >0.80. At least one vessel has a distal value ≤0.80, but this value does not appear to be associated with a specific stenosis. Consider medical therapy as front-line strategy.

Potential occlusion in . Other vessels have . Consider ICA with possible revascularization.

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