HeartFlow vs IVUSAID

The HeartFlow® mobile app is a convenient way for clinician customers to see the status of their patients’ HeartFlow FFRct Analyses. Quickly scan a list of patients in your institution with the HeartFlow Analysis and view patients’ personalized 3D models with FFRct values. If you are not currently a HeartFlow customer but are curious to try the HeartFlow Analysis, you can still preview the 3D model in a quick introduction experience. Note: Important differences exist in how FFRct values are presented in the mobile app. Please contact HeartFlow Support (support@heartflow.com) with any questions. http://www.heartflow.com **** About HeartFlow: HeartFlow is transforming the way cardiovascular disease is diagnosed and treated. Our HeartFlow FFRct Analysis is a non-invasive cardiac test that creates a personalized 3D model of the heart. Clinicians use this analysis to evaluate blood flow to the heart and to help them determine the appropriate treatment pathway for each patient with suspected coronary artery disease (CAD). Why the HeartFlow Analysis matters: • Regulated medical device with FDA 510(k) clearance, CE mark and PMDA approval. • Substantial clinical evidence with more than 500 peer-reviewed articles • Centers for Medicare and Medicaid Services (CMS) approved reimbursement in the US • Recommended by NICE and mandated by NHS England and NHS Improvement through the MedTech Funding Mandate • Over 235 million patients in the US have access to the HeartFlow Analysis through their current health insurance • Improves clinical outcomes through earlier detection of CAD without intervention or adverse events - 83% reduction in unnecessary angiograms* • Helps reduce the overall cost of care - 26% reduction based on the mean one-year per-patient cost* • Leverages deep learning for product improvements in accuracy and turnaround time • Improves the overall patient experience and quality of life* - hear from a few of the more than 100,000 patients touched by HeartFlow on our web site The HeartFlow FFRct Analysis is commercially available in the United States, Canada, Europe, and Japan. The HeartFlow Mobile Application is only commercially available in the United States, Canada, and the UK. Don’t have HeartFlow at your institution? Submit a request, and we’ll help get the conversation started. http://www.heartflow.com/contact-us * Douglas, et al. J Am Coll Cardiol 2016; 68:435-45.

The IVUSAID App is a free educational mobile application which has been developed to teach medical professionals how to use intravascular ultrasound (IVUS) for PCI guidance based on the current guidelines using our extensive experience and large database of complex coronary cases. Despite the growing body of evidence for clinical benefits of IVUS-guided PCI, IVUS remains underutilized in much of the world including the United States. Challenges in image interpretation and education are among the barriers to widespread adoption of IVUS in everyday clinical practice. Mount Sinai Heart is a global leader within the field of interventional cardiology as well as mobile apps development. The myriad of cases and pathology which are seen in The Mount Sinai Cardiac Catheterization Laboratory make it the perfect center to educate medical professionals within this field. The Key Concepts section of IVUSAID describes principles of IVUS, image acquisition, and concepts of ultrasound behavior in various tissues. The Image Interpretation section of the app has dozens of representative cross-sectional images, videos, and descriptions of plaque types, stent apposition and expansion, artifacts, and more. A short video for each type of lesion or artifact and post-stent findings, in addition to an annotated representative cross section aims to overcome a major limitation of any article or book on IVUS which present a static image, since the actual IVUS pullback is dynamic. Twenty-one complex coronary cases demonstrate IVUS guidance in a variety of patient presentations and lesions including ACS, LM bifurcation, severely calcified lesions and calcified nodules, spontaneous coronary artery dissection, and malapposed stents as well as how IVUS was used to inform treatment decisions. An extensive quiz section helps deliver educational content in a more interactive format where answers are accompanied by detailed explanations and references. We hope that IVUSAID will help techs, fellows, and early-career physicians incorporate IVUS in their daily practice for stent sizing, post-stent optimization, and identification of appropriate treatment strategies.