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It covers probe insertion techniques, instrument controls and manipulation, and a structured comprehensive imaging examination with specific view sets for midesophageal, transgastric, aorta, and three-dimensional assessment. The document also addresses assessment of ventricular size and function, left atrium and pulmonary veins, right atrium and venous connections, and an ACHD TEE imaging algorithm.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/ase-guidelines-and-standards-guidelines-for-performing-a-comprehensive-transesophageal-echocardiographic-examination/496134/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/ase-guidelines-and-standards-guidelines-for-performing-a-comprehensive-transesophageal-echocardiographic-examination/496134.png","ImageObject",300,407,{"name":92,"@type":93},"Cipher","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-10-02",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the purpose of ASE’s comprehensive transesophageal echocardiographic guidelines?","Question",{"text":113,"@type":114},"The guidelines define and standardize a comprehensive set of TEE views and procedures to support consistent, accurate examinations across clinicians and clinical settings.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which topics are covered in the guideline structure before imaging begins?",{"text":118,"@type":114},"The document covers general guidance, training and certification, indications for TEE, and management of patient sedation, including sedation and anesthesia considerations.",{"name":120,"@type":111,"acceptedAnswer":121},"What imaging areas and specific view groups does the comprehensive examination include?",{"text":122,"@type":114},"It includes midesophageal (ME) and transgastric (TG) views, aorta views, transesophageal three-dimensional (3D) protocols, and structural imaging for multiple cardiac structures, followed by assessments such as ventricular size and function and atrial and venous connections.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},496134,1791289151,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},687208528416,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","ASE GUIDELINES AND STANDARDS  \nGuidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination:  \nRecommendations from the American Society of Echocardiography and the Society of Cardiovascular  \nAnesthesiologists  \nRebecca T. Hahn, MD, FASE, Chair, Theodore Abraham, MD, FASE, Mark S. Adams, RDCS, FASE, Charles J. Bruce, MD, FASE, Kathryn E. Glas, MD, MBA, FASE, Roberto M. Lang, MD, FASE, Scott T. Reeves, MD, MBA, FASE, Jack S. Shanewise, MD, FASE, Samuel C. Siu, MD, FASE, William Stewart, MD, FASE, and Michael H. Picard, MD, FASE, New York, New York; Baltimore, Maryland; Boston, Massachusetts; Rochester, Minnesota; Atlanta, Georgia; Chicago, Illinois; Charleston, South Carolina; London,  \nOntario, Canada; Cleveland, Ohio  \n(J Am Soc Echocardiogr 2013;26:921-64.)  \nKeywords: Transesophageal echocardiography, Comprehensive examination  \nTABLE OF CONTENTS   \nIntroduction 921  \nGeneral Guidelines 922  \nTraining and Certification 922  \nIndications for TEE 923  \nManagement of Patient Sedation 927  \nSedation and Anesthesia 929  \nProbe Insertion Techniques 930  \nInstrument Controls 930  \nInstrument Manipulation 931  \nComprehensive Imaging Examination 932  \nME Views 932  \nTG Views 939  \nAorta Views 941  \nTransesophageal 3D Examination Protocol 942  \nSpecific Structural Imaging 942  \nMV 942 AVand Aorta 945  \nPV 949 TV 950 Assessment of Ventricular Size and Function 951  \nLA and Pulmonary Veins 953  \nRight Atrium and Venous Connections 954  \nACHD: TEE Imaging Algorithm 957  \nConclusions 959  \nReferences 959  \nINTRODUCTION   \nTransesophageal echocardiography (TEE) is a critically important cardiovascular imaging modality. The proximity of the esophagus to  \nFrom Columbia University, New York, New York (R.T.H., J.S.S.); Johns Hopkins University, Baltimore, Maryland (T.A.); Massachusetts General Hospital, Boston, Massachusetts (M.S.A., M.H.P.); Mayo Clinic, Rochester Minnesota (C.J.B.); Emory University School of Medicine, Atlanta, Georgia (K.E.G.); the University of Chicago, Chicago, Illinois (R.M.L.); Medical University of South Carolina, Charleston, South Carolina (S.T.R.); University of Western Ontario, London, Ontario, Canada (S.C.S.); and Cleveland Clinic, Cleveland, Ohio (W.S.) .  \nThe following authors reported no actual or potential conflicts of interest in relation to this document: Rebecca T. Hahn, MD, FASE, Theodore Abraham, MD, FASE, Mark S. Adams, RDCS, FASE, Charles J. Bruce, MD, FASE, Jack S. Shanewise, MD, FASE, Samuel C. Siu, MD, FASE, William Stewart, MD, FASE, and Michael H. Picard, MD, FASE. The following authors reported relationships with one or more commercial interests: Kathryn E. Glas, MBA, MD, FASE, edited and receives royalties for The Practice of Perioperative Transesophageal Echocardiography: Essential Cases (Wolters Kluwer Health, Amsterdam, The Netherlands) . Roberto M. Lang, MD, FASE, received research support from Philips Medical Systems (Andover, MA) . Scott T.  \nReeves, MD, MBA, FASE, edited and receives royalties for A Practical Approach to Transesophageal Echocardiography (Lippincott Williams & Wilkins, Philadelphia, PA) .  \nAttention ASE Members:  \nThe ASE has gone green! Visit www.aseuniversity.org to earn free continuing medical education credit through an online activity related to this article. Certificates are available for immediate access upon successful completion of the activity. Nonmembers will need to join the ASE to access this great member benefit!  \nReprint requests: American Society of Echocardiography, 2100 Gateway Centre Boulevard, Suite 310, Morrisville, NC 27560 (E-mail: [ase@asecho.org](ase@asecho.org)). 0894-7317/$36.00  \nCopyright 2013 by the American Society of Echocardiography.  \n[http://dx.doi.org/10.1016/j.echo.2013.07.009](http://dx.doi.org/10.1016/j.echo.2013.07.009)  \n922 Hahn et al Journal of the American Society of Echocardiography September 2013  \n\n| Abbreviations |\n| --- |\n| ACHD = Adult congenital heart disease\u003Cbr>ASE = American Society of Echocardi","cbCaiid1v5FQ83sl","https://ap.wps.com/l/cbCaiid1v5FQ83sl","pdf",1263293,44,"English","# Introduction\n# General Guidelines\n# Training and Certification\n# Indications for TEE\n# Management of Patient Sedation\n# Sedation and Anesthesia\n# Probe Insertion Techniques\n# Instrument Controls\n# Instrument Manipulation\n# Comprehensive Imaging Examination\n## ME Views\n## TG Views\n## Aorta Views\n## Transesophageal 3D Examination Protocol\n## Specific Structural Imaging\n## Assessment of Ventricular Size and Function\n## LA and Pulmonary Veins\n## Right Atrium and Venous Connections\n## ACHD: TEE Imaging Algorithm\n# Conclusions\n# References","[{\"question\":\"What is the purpose of ASE’s comprehensive transesophageal echocardiographic guidelines?\",\"answer\":\"The guidelines define and standardize a comprehensive set of TEE views and procedures to support consistent, accurate examinations across clinicians and clinical settings.\"},{\"question\":\"Which topics are covered in the guideline structure before imaging begins?\",\"answer\":\"The document covers general guidance, training and certification, indications for TEE, and management of patient sedation, including sedation and anesthesia considerations.\"},{\"question\":\"What imaging areas and specific view groups does the comprehensive examination include?\",\"answer\":\"It includes midesophageal (ME) and transgastric (TG) views, aorta views, transesophageal three-dimensional (3D) protocols, and structural imaging for multiple cardiac structures, followed by assessments such as ventricular size and function and atrial and venous connections.\"}]","ASE Guidelines and Standards - Guidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination | PDF",1790928031,111]