Cardiac Surgery Resource Hub

Resources illustrating how MiraQ is used in cardiac surgery to get enhanced surgical insight.

Introduction The REQUEST Study Videos Case Studies Webinars Publications Products

Introduction

Cardiac surgery today, while advanced, relies on separate tools for visualizing anatomy and measuring blood flow. Correlating information between multiple devices like this leaves room for uncertainty. Envision an innovative instrument seamlessly integrating Transit Time Flow Measurement (TTFM) with high-resolution imaging, transforming cardiac procedures by offering enhanced precision and real-time insights. The MiraQ enables surgeons to perform with accuracy, ultimately leading to improved patient outcomes.
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MiraQ is the only instrument combining Transit Time Flow Measurement (TTFM) and high-resolution imaging. It empowers cardiac surgeons with precision and real-time insights, elevating patient outcomes in one innovative solution. Perform cardiac imaging, measure blood flow and receive immediate feedback on how well a graft is functioning.
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Intraoperative surgical guidance and quality assessment with ultrasonic imaging and blood flow measurement:

reduces risk of stroke for the patient.
provides surgeons with a tool to verify graft functionality, revise when needed and optimize the graft strategy during surgery.

These benefits are displayed in the largest multi-center study to combine TTFM and High Frequency Ultrasound Imaging - the REQUEST Study.

The REQUEST Study

REQUEST is the first multicenter study documenting the changes in surgical strategy from the combined use of Transit Time Flow Measurement (TTFM) and High Frequency Ultrasound Imaging (HFUS).

The results showed that 25% of the patient population had one or more surgical procedure changes made. These changes were associated with low rates of in-hospital mortality and major morbidity. Such an impact on surgical strategy shows the importance of performing routine intraoperative quality assessment with TTFM and HFUS during CABG surgery.

REQUEST

Registry for Quality Assessment with Ultrasound Imaging and TTFM in Cardiac Surgery

Go to REQUEST publication (JCTVS.org)

Global approach

Seven leading cardiac surgery centers from Europe, USA and Canada participated. The study was initially led by Professor Pieter Kappetein of Thorax Erasmus MC, Rotterdam, and later by Coordinating Investigator Professor David Taggart from the University of Oxford.

Inclusion criteria was isolated CABG with a minimum of two grafts. Medistim’s VeriQC™ or MiraQ™ devices were used.

7

Centers

1016

CABG Patients

25%

Change in Surgical Strategy

Diagram: 1016 patient cases, 97% LITA, 40% off-pump, 31% BITA.

Infographic showing statistics about patients

Request image illustration with detailed graphics

Download the 4 page Executive Summary of the REQUEST study

Cover of a brochure: MiraQ device foreground; doctor and nurse in background.

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Videos

Enhance your surgical techniques and knowledge with our video gallery, showcasing real-world applications of the MiraQ for improved patient outcomes and surgical efficiency.

Aortic anastomosis on ultrasound imaging