16 Views to Master in Transesophageal Echocardiography (TEE)

This video describes the Basic Views of Trans esophageal Echocardiography (TEE) along with the probe manipulations and maneuvers required to get those basic views. Each view is labelled with the structures visible in each window. Major views involved in standard TEE are described but we can get more views by little manipulations according to the pathology found.

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00:00 Introduction
00:12 TEE probe Controls
01:06 Standard Image Acquisition
Mid Esophageal Views: 30 – 40 cm
01:28 Mid Esophageal Four Chamber View
02:24 ME Four Chambers with LVOT
02:50 TEE Mitral Commissural View
03:18 TEE Two Chamber
03:44 TEE Long Axis
04:23 TEE Bi Caval View
04:58 RV Inflow- Outflow View
05:24 Aortic Valve SAX
05:44 Ascending Aorta
06:20 Descending Aorta

Upper Esophageal Views: 20 – 25 cm
Aortic Arch SAX
Aortic Arch Long Axis

Transgastric Views: 40 – 50 cm
06:55 Transgastric Short Axis
07:23 Transgastric Basal Short Axis
07:34 Transgastric Two Chamber view
07:48 TG Long Axis View
07:56 RV Inflow View
08:09 Deep Transgastric Long Axis
08:35 Summary

#echocardiography #echocardiogram #cardiology #echo #tee #2dEcho #heartdisease

This Video enables you to grab the following concepts:
Standard method for performing Transesophageal Echocardiogram
How to do Transesophageal Echocardiography?
Transesophageal Echo Probe Handling
How to get views of TEE?
What are the necessary views for Transesophageal Echo?
Transesophageal Echocardiography Probe Controls
what does an echocardiogram look for?
how long do echocardiograms take?
TEE vs TTE

The transducers utilized in transthoracic echocardiography (TTE) are typically single-plane phased array probes, requiring the sonographer to physically manipulate the probe to move from one view to the next. On the other hand, most TEE probes, and for the purposes of the discussion in this chapter, are multiplane phased array probes. Several thousand piezoelectric crystal elements are assembled in a matrix configuration and mounted to the distal tip of an endoscope. This arrangement allows a linear scan line to be created that can be electronically rotated from 0 toward 180 degrees using two buttons on the handle of the ultrasound probe. As such, multiple views are able to be created without any physical probe manipulation. Rotating the scan line (also called the omniplane angle ) in the direction of 180 degrees is termed rotating forward , whereas rotating back to 0 degrees is termed rotating backward . Physical probe manipulation can be performed by turning the large control wheel on the handle to anteflex (anteriorly) or retroflex (posteriorly) the probe. Furthermore, the tip of the probe can be flexed left or right by rotating the smaller control wheel. The shaft of the probe can be advanced, withdrawn, turned clockwise to image right-sided structures, or turned counterclockwise to image left-sided structures.