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“...We believe that there is sufficient evidence to suggest that TTFM should be mandatory and adopted routinely in all CABG and off-pump CABG procedures to improve patient care and surgical results.”
-Leong et al, Ann Thorac Surg 2005; 79:854-8
“Not a day goes by that these flow measurements don’t solve a problem for me.”
-B. Mindich MD, 2002
“Intraoperative assessment of graft patency is essential for detection of potentially reversible technical problems prior to leaving the operating room.”
- Chun et al, Heart Surgery Forum 2(3):230-234, 1999
“Flow is a vital parameter during cerebrovascular surgery; including flow in my surgical approach gives me a high degree of control over surgical outcome. When I close the patient, I know the patient will recover without ischemic surprises. This translates into peace of mind for the patient and me, and saves money for the hospital.”
-F.T. Charbel, MD, 1999
“The intraoperative use of flow measurements provide invaluable information in a timely, accurate, cost-effective manner allowing for the surgical correction of a surgical problem. This has significantly reduced complications related to early technically induced graft failure. In an era of rapidly changing surgical techniques this provides documentation of the sine-qua-non of the operation: patency.”
- Mindich B. et al, “Reduction of Technical Graft Problems Using Ultrasonic Flow Measurements,” Presented at the 3rd International congress, 10th Anniversary of the Onnasis Heart Center, Athens, Greece, April 2003. (2571A)
"The primary aim of intraoperative volume flow measurement is to obtain information on the immediate result of the reconstruction where a technical failure may jeopardize an otherwise successful operation."
- Lundell A, Bergqvist D. Intraoperative flow measurements in vascular reconstruction. Ann Chir Gynaecol 81(2):187-191, 1992
“The success or failure of an arterial reconstruction is dependent on multiple factors: selection of patients, quality of inflow and outflow vessels, type of vascular conduit use, as well as surgical technique.... The primary aim of intraoperative volume flow measurement is to obtain information on the immediate result of the reconstruction where a technical failure may jeopardize an otherwise successful operation.”
- Anders Lundell, MD, PhD, Ibid, p. 71
“Transit-time flow measurements contribute to fill the existing gap between the preoperative evaluation and the postoperative angiography...The Quality of TTFM information is functional as well as morphological... This should redirect the focus of the coronary surgeon from the concept of anatomical revascularization to that of functional revascularization”
- Gabriele Di Giamammarco, MD, Ibid, p. 140
“Anastomotic quality has become a critical issue in off-pump coronary artery bypass graft (OPCABG) surgery, especially during minimally invasive procedures. It is very important to detect the construction of a “poor” anastomosis during the primary surgery so that repeat operations may be avoided.”
- Cerrito P, PhD, Koenig S, PhD, Spence, P, MD, Ibid, P. 143
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