"It's an amazing device"
“This helps us ensure a more precise and complete revascularization.”
“It’s an amazing device and we’re really excited to be able to offer this level of surgical excellence to Veterans.”
- Dr. Gregory Trachiotis, Chief of Cardiac Surgery, Washington DC VA Medical Center, Healthier Veterans Magazine winter 2012
Growing Clinical Support
"I think, as a standard of care, every patient should have flow measurement of the IMA to LAD and [epicardial imaging] check of that anastomosis, because it's that one thing in all of coronary revascularization that changes a patient's life expectancy."
- Prof. David Taggart, Oxford University, STS conference, January 2014
The Medistim MiraQ™ Cardiac combines ultrasound imaging and transit time flow measurement (TTFM) in a single system that is specifically designed for cardiac surgery.
There is growing support of the idea that checking grafts and anastomoses during cardiac surgery should be standard of care. Reliability and ease of use is a major determinant for this to become reality.
The MiraQ™ Cardiac system has built-in support for Guided Workflows. These are software protocols that assist the user to a standardized approach to quality assessment. Intraoperative quality assessment has become easier to adopt, customizable to the surgeon’s needs and enhancing work efficiency.
Epicardial imaging
Epicardial ultrasound imaging gives a simple, fast and safe imaging of coronary stenoses and graft anastomoses, providing immediate feedback on the quality of the CABG surgery.
Transit Time Flow Measurement
Performing flow measurements with the MiraQ™ Cardiac is the quickest and most accurate way to verify graft patency while the patient is still in the operating room.
Epiaortic imaging
Epiaortic imaging provides a sensitive, direct diagnosis of aortic disease. This may lead to modifications of the surgical strategy and thus contribute towards reduced rates of major adverse cardiac and cerebrovascular events (MACCE) following surgery.
Combining imaging and flow for better quality assessment
The MiraQ™ Cardiac system uses Medistim’s flow measurement and high-resolution ultrasound Imaging probes to provide a complete quality assessment.
Medistim’s L15 High-frequency ultrasound Imaging probe provides high-resolution images that allows the surgeon to assess morphology. Medistim’s flow probes utilize transit time technology to accurately measure blood volume flow intraoperatively.
Combining the spatial information from epicardial ultrasound imaging and quantitative data from TTFM enables the surgeon to perform a prompt and accurate assessment, and revise the graft when necessary.
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Before closingTTFM
Reliable flow volume measurement
The established numeric indices Pulsatility Index (PI), Diastolic Filling (DF%) and Mean Flow, the basis of our 3-parameter assessment method, provide an accurate insight into the dynamics of graft function. TTFM is included in the guidelines endorsed by EACTS/ESC, NICE, and STS.