HeartFlow FFRCT for estimating fractional flow reserve from coronary CT angiography

Establish patient selection criteria to ensure that HeartFlow FFR_CT is used appropriately. See care pathway mapping.

Ensure that CT is 64-slice or above and that images meet the needs for analysis, in line with Royal College of Radiology and Society of Cardiovascular Computed Tomography guidelines. See education and site specific criteria.

Ensure that a Data Protection Impact Assessment (DPIA) and/or Data Processing Agreement is completed in conjunction with HeartFlow and local information governance leads. See information governance.

Ensure that IT departments can host HeartFlow Connect VM appliance. See IT infrastructure.

Consider the downstream consequences on workload (fewer functional tests or invasive coronary angiographies) in other departments (such as cardiology and stress ECHO/MRI), and how to minimise any inefficiencies that arise as a result. See care pathway mapping and the into practice guide.

Map the affected administration tasks in advance. Consider moving tasks between departments and where administrative burden will be reduced. See care pathway mapping.

Providers and commissioners will need to agree a local tariff for the procedure that supports adoption (See the resource impact report.)