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Publication Database Search

Explore our collection of peer-reviewed studies and research articles showcasing the real-world application of our technology.

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Publication Summaries
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Medistim Driven
Medistim Supported
Kieser 2010
3-year post-op follow-up PI< 5 connected to less risk of MACE and death
Kim 2019
Less re-interventions with TTFM than without TTFM
Quan 2022
Less perioperative MI with TTFM than without TTFM
Laali 2022
Add 3 min and reduce MACE by 50%
Circulation 2021
10 consensus statements recommending the use of TTFM in every CABG procedure
Meyer 2019
Flow >170mL/min predicts successful maturation of AVF.
Miyake 2019
Optimal flow reduces the risk for early graft occlusion after Peripheral Bypass.
Troisi 2025
Arterial flow > 310 mL/min reduces risk of delayed graft function after kidney transplantation.
Knappich 2020
CIDAC: HFUS enables more correct detection of higher-grade defects than angiography during CEA.

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Learning Curve of Cardiac Surgery Residents in Transit-Time Flow Measurement and High-Resolution Epicardial Ultrasonography During Coronary Surgery

Federico Cammertoni and Gabriele Di Giammarco et al.
2026
Published Articles
Cardiac
Learning Curve of Cardiac Surgery Residents in Transit-Time Flow Measurement and High-Resolution Epicardial Ultrasonography During Coronary Surgery

Objectives: This study aimed to define the learning curve required for cardiac surgery residents to acquire basic technical and interpretive skills in transit-time flow measurement (TTFM) and high-resolution epicardial ultrasonography (HRUS) during coronary artery bypass grafting (CABG). Read more...

Authors
Federico Cammertoni, Gabriele Di Giammarco, Nicola Testa, Natalia Pavone, Alberta Marcolini, Serena D’Avino, Piergiorgio Bruno, Maria Grandinetti, Francesco Bianchini, Antonio E. Trapani and Massimo Massetti

Minimizing stroke risk in off-pump CABG: the role of clampless devices and the piggyback proximal anastomosis technique

Baudo, M. et al.
2025
Published Articles
Cardiac
Minimizing stroke risk in off-pump CABG: the role of clampless devices and the piggyback proximal anastomosis technique

Introduction: Numerous techniques have been developed to minimize risk of perioperative stroke during coronary artery bypass grafting (CABG), including off-pump approach, preoperative and intraoperative imaging of the ascending aorta (CT scan and epiaortic ultrasound), anaortic CABG with bilateral internal thoracic artery, clampless devices for the construction of proximal anastomosis and minimal aortic manipulation with a single aortic inflow for all proximal grafts (piggyback proximal anastomosis). The aim of this study was to evaluate the clinical outcomes of CABG patients who underwent off pump CABG with proximal anastomosis constructed with the use of a clampless device and in a piggyback fashion. Read more..

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Authors
Massimo Baudo, Francesco Cabrucci, Amanda Yakobitis, Courtney Murray, Gianluca Torregrossa

Prospective assessment of intraoperative renal perfusion with transit time flow measurements (TTFM) in deceased and living donor kidney transplantation

Troisi, R.I. et al
2025
Published Articles
Transplantation
Prospective assessment of intraoperative renal perfusion with transit time flow measurements (TTFM) in deceased and living donor kidney transplantation

Optimal graft perfusion is key to achieving satisfactory post-transplant function. The possibility of evaluating vascular flows can lead to the early identification of vascular complications and reflect graft quality and outcome. From 1, 2022 to 1, 2024, transit time flow measurements (TTFM) were prospectively recorded in 75 consecutive kidney transplants (KTx) and analyzed alongside donor, recipient, transplant, and outcome data. Read more...

Authors
Roberto I. Troisi, Gianluca Rompianesi, Silvia Campanile, Xenios Eleftheriades, Fabiana Rubba, Gianluca Cassese, Marcello Caggiano, Giuseppe De Simone, Mariano C. Giglio, Rosa Carrano, Umberto M. Bracale & Roberto Montalti

Optimisation of Off-Pump CABG Using Graft Flowmeter, Intra-Operative Tee and Cardiac Markers

Anumeet Bagga
2025
Published Articles
Cardiac
Optimisation of Off-Pump CABG Using Graft Flowmeter, Intra-Operative Tee and Cardiac Markers

Background: Aim: The aim of the present study was to optimize the off pump coronary artery bypass grafting by the use of graft flow meter based on transit time flow principle and revision of grafts when the values are abnormal and there is associated haemodynamic instability as seen on TEE, ECG changes and rise in Trop I levels. Methods: 75 patients undergoing isolated off-pump CABG at LPS Institute of Cardiology and Cardiac Surgery were included in the study from January 2017 to June 2018. See more...

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Authors
Anumeet Bagga

Long-Term Results of Femorodistal Sequential Composite-Bypass Combining Heparin-Bonded PTFE-Prosthesis and Autologous Vein Using the Deutsch Bridge Technique in Critical Limb-Threatening Ischemia

Neufang, Achim et al.
2023
Published Articles
Vascular
Long-Term Results of Femorodistal Sequential Composite-Bypass Combining Heparin-Bonded PTFE-Prosthesis and Autologous Vein Using the Deutsch Bridge Technique in Critical Limb-Threatening Ischemia

Autologous vein bypass provides excellent long-term results in critical limb-threatening ischemia (CLTI), but a substantial portion of patients have insufficient vein length. In limbs with two distal outflow vessels and limited vein length, a vascular prosthesis may be combined with autologous vein for a sequential composite bridge bypass (SCBB). Read more...

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Authors
Achim Neufang, Valerian Zhghenti, Carolina Vargas-Gomez, Thomas Umscheid, Peter von Flotow, Rainer Schmiedel, Savvas Savvidis
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Publication Summaries

Consice insights from key clinical studies - empowering surgeons with evidence that drivers better outcomes
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Medistim Driven Studies

Medistim Supported Studies

CIDAC

Prospective Comparison of Duplex Ultrasound and Angiography for Intra-operative Completion Studies after Carotid Endarterectomy (CIDAC)

Kidney transplant

Prospective assessment of intraoperative renal perfusion with Transit time flow measurments (TTFM) in deceased and living donor kidney transplantation.

SMARTFLOW

Time to Assess the Role of Quality Control in CABG: The SMARTFLOW Trial Program

ROMA women

ROMA: Women: Innovative Approaches for the First Cardiac Surgery Trial in Women

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