Doppler Measures Velocity.

Transonic Measures What Matters.

Doppler Suggests, but Transit-Time Flow Measurement Confirms.


Doppler ultrasound tells you how fast blood is moving by measuring the average fluid velocity. Transit-time flow measurement (TTFM) tells you how much blood is actually flowing – volume, in mL/min.

This is more than a technical distinction; it has real-world, clinical implications for patients. That’s why leading surgical teams, perfusionists and critical care units around the world rely on Transonic for TTFM measurement technology.

two doctors discussing the information displayed on their computer

Why Velocity Alone Isn’t Enough

Operating on the heart, saving a limb, transplanting an organ, monitoring ECMO and many other surgical specialties all involve decisions that are based on blood flow. It’s important to know with certainty not just that blood is moving, but how much is moving and thereby perfusing the tissue.

Doppler gives you a waveform and sound. TTFM gives you quantitative, beat-to-beat data that allows you to:

  • Confirm or revise clinical impressions in the moment
  • Detect subtle issues like kinks, twists, or poor anastomosis
  • Optimize graft patency and reduce reinterventions

If you're relying solely on Doppler, you may only be seeing half the picture.

Of course, some surgeons feel confident relying solely on their clinical experience and Doppler. That confidence is well-earned. But what about the residents learning beside you? When the stakes are high, real-time flow data helps reinforce clinical intuition and decision-making.

Still Using Doppler? Ask Yourself These Questions

High velocity doesn’t always mean high flow. And when perfusion matters, velocity alone can mislead. Ask yourself:

1
If velocity looks good, does that mean the graft is patent?

Not always. A narrowed vessel can still show high velocity because a small amount of blood is moving quickly. That might sound fine on Doppler, but it doesn’t guarantee enough blood is getting through to adequately perfuse the tissue.

2
Can a graft with high velocity still fail?

Yes. Velocity alone doesn’t measure flow. Without knowing the volume of blood moving (not just how fast), you risk false reassurance.

3
What do you actually need to know?

That enough blood is moving to sustain the tissue, not just that some blood is moving fast.

4
So, how do you get that full picture?

By measuring true volume flow (mL/min). That’s what transit-time flow measurement provides: quantitative flow data.

Transonic, Trusted Across Specialties

Transonic’s TTFM technology is trusted daily in operating rooms, transplant centers and ICUs around the world.

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Cardiothoracic Surgery

In CABG, confirming graft patency intraoperatively can mean the difference between success and failure. TTFM provides beat-to-beat data for each anastomosis, empowering precise decisions before closure.

vascular-surgery
Vascular Surgery

For fem-pop bypasses, AV access, limb salvage and more, our low-flow probes help confirm adequate perfusion to support limb viability and reduce the risk of reintervention.

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Transplant Surgery

Kidney, liver and pancreas transplants depend on verifying perfusion and anastomosis success. TTFM gives immediate, reliable insight.

One platform. Multiple probe sizes.
Purpose-built for each procedure.

Built To Measure. Backed by Science.

Founded over 40 years ago by Dr. Cor Drost, Transonic pioneered transit-time flow measurement to close a critical gap in surgical monitoring. Today, we remain the trusted choice for surgeons, perfusionists and ECMO teams who demand accuracy at every level.

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Get the Full Picture

Connect with our clinical team to explore how transit-time flow measurement technology gives you the most complete picture.

Measure more. Know more. Do more.