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This case example shows a routine fem-pop case where the surgeon assessed the quality of the bypass procedure using all 3 measurement technologies provided by the MiraQ system; High-Frequency Ultrasound (HFUS), Transit Time Flow Measurement (TTFM) and PW Doppler measurements.
Fem-pop bypass: Quality control with TTFM, HFUS and PW Doppler
Interoperative completion control
Image 1 shows a clear lumen and error-free proximal anastomosis. The flow was assessed using both TTFM and PW Doppler. The measurement shows acceptable flow volume with low PI, as well as a satisfactory flow velocity with corresponding Doppler spectrum at the proximal anastomosis, all indicating a patent graft. As seen in Image 2, TTFM of the proximal anastomosis during the case displayed a satisfactory flow of 328 mL/min with a repetitive corresponding flow curve.
Case attachments
Click images below to view.
HFUS, TTFM and PW Doppler of proximal anastomosis
TTFM of proximal anastomosis
Reference
Intraoperative quality control with transit time flow measurement
Vikatmaa P and Albäck A. Intraoperative quality control with transit time flow measurement. Gefässchirurgie 2018; 23:580-585.
Technology used
Medistim MiraQ™ Vascular System with Vascular TTFM Probes and L15 High-Frequency Ultrasound Probe.
