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A transesophageal echocardiogram (TEE; also spelled transoesophageal echocardiogram; TOE in British English) is an alternative way to perform an echocardiogram. A specialized probe containing an ultrasound transducer at its tip is passed into the patient's esophagus . [ 1 ]
The communication, while a team effort, is led and directed by the cardiothoracic anesthesiologist, as the surgeon is focused on acquiring and maintaining adequate exposure. This can even extend to placement of the cannulae for CPB preparation, as the cardiothoracic anesthesiologist often directs the surgical placement via real-time TEE data.
A transthoracic echocardiogram (TTE) is the most common type of echocardiogram, which is a still or moving image of the internal parts of the heart using ultrasound.In this case, the probe (or ultrasonic transducer) is placed on the chest or abdomen of the subject to get various views of the heart.
The transesophageal echocardiogram (TEE) is a good test in the diagnosis of aortic dissection, with a sensitivity up to 98% and a specificity up to 97%. It has become the preferred imaging modality for suspected aortic dissection. It is a relatively noninvasive test, requiring the individual to swallow the echocardiography probe.
One of the complications that are sometimes reported involves some temporary nerve involvement. Sometimes a small amount of swelling occurs that can put pressure on nerves in the area of the incision. Venous thrombosis is the most common complication with an incidence ranging between 0.5 and 2.5%. [6]
Pericardiocentesis should be performed with ultrasound guidance whenever possible to prevent complications. [2] [6] This allows practitioners to assess the location of the pericardial effusion and identify adjacent structures. [6] With ultrasound guidance, an apical approach is most often used, but parasternal and subxiphoid approaches can also ...
Some potential complications associated with the procedure include: [18] Bleeding - catheter insertion into arteries or veins can cause bleeding at the insertion site. Blood vessel damage - insertion of the catheter can also damage the blood vessels and lead to hematoma, which is a collection of blood outside the blood vessels, or vessel ...
Pre-procedural planning includes aortic valve annulus measurements and possible procedural complication likelihood. The standard for preoperative plans is to perform a multi-detector computed angiotomography (MDCT), which delivers the information required. Magnetic resonance imaging (MRI) and 3D echocardiography is an alternative. [15]