News | Ultrasound Transesophageal echo (TEE) | February 05, 2019

ASE Releases Guidelines for Transesophageal Echo in Congenital Heart Disease

Document provides comprehensive overview of latest techniques and technologies for TEE in pediatric patients

ASE Releases Guidelines for Transesophageal Echo in Congenital Heart Disease

February 5, 2019 – The American Society of Echocardiography (ASE) released a new document that provides a comprehensive review of the optimal application of transesophageal echocardiography (TEE) for patients with congenital heart disease (CHD).

Congenital heart disease is the most common form of birth defect worldwide. In the United States alone, over 40,000 children are born annually with CHD and the number of children and adults living with CHD is estimated at 2 to 3 million. Transthoracic echocardiography (TTE) has always been an essential non-invasive diagnostic tool for pediatric cardiologists, but recent advances in transesophageal echocardiography (TEE) technology have led to its increasing importance in the care of both children and adults with CHD.

The document, Guidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination in Children and All Patients with Congenital Heart Disease: Recommendations from the American Society of Echocardiography, has been endorsed by over a dozen cardiology societies worldwide and appears in the February issue of the Journal of the American Society of Echocardiography (JASE).

The chair of the writing group, Michael D. Puchalski, M.D., FASE, of the University of Utah, Primary Children’s Hospital in Salt Lake City, commented, “The prior guideline paper for TEE in children and all patients with CHD was published in 2005 and focused primarily on when to do it, how to do it and who should do it. This new paper really expanded on that in a significant way by providing a comprehensive protocol for image acquisition. We recommend numerous views to evaluate a wide variety of congenital heart conditions and have added 3-D echo, which did not exist in 2005. The technologic advancements in the last decade or more have expanded the use of TEE to guide interventions in the catheterization lab and improve operative outcomes from the smallest babies to the oldest adults.”

The document outlines in detail the technical considerations and imaging techniques, as well as the value that TEE can add to the management of specific congenital heart defects. It also details the use of TEE to guide catheter-based interventions, which have become increasingly used in recent years, and addresses the need for specific training and educational pathways specific to the use of TEE in children and CHD patients. The document includes several useful tables, including one that summarizes and illustrates the 28 suggested views for a comprehensive TEE exam in CHD patients.

In conjunction with the publication of the guideline document, Puchalski will conduct a live webinar, including a question and answer section, on March 19 at 10:00 a.m. Eastern Time. The webinar will be available for free to all ASE members and open to all other clinicians for just $25. Registration is open online. This webinar, and all ASE-hosted guideline webinars, are available on ASEUniversity.org to facilitate education for those who cannot attend the live webcast.

This document and all ASE Guideline documents are also available to the medical community at ASEcho.org/Guidelines.

For more information: www.asecho.org

Related Content

Fujifilm Exhibits Enterprise Imaging Solutions and Artificial Intelligence Initiative at HIMSS 2019
News | Enterprise Imaging | February 15, 2019
Fujifilm Medical Systems U.S.A. Inc. and Fujifilm SonoSite Inc. showcased their enterprise imaging and informatics...
Philips Launches Latest Iteration of IntelliSpace Cardiovascular at HIMSS 2019
Technology | Cardiac PACS | February 13, 2019
Philips announced the launch of IntelliSpace Cardiovascular 4.1, its next-generation cardiovascular image and...
Micro-Ultrasound and Artificial Intelligence Combining to Detect Prostate Cancer
News | Prostate Cancer | February 12, 2019
Cambridge Consultants has partnered with Exact Imaging, makers of the ExactVu micro-ultrasound platform, as the two...
An example of Philips' TrueVue technology, which offers photo-realistic rendering and the ability to change the location of the lighting source on 3-D ultrasound images. In this example of two Amplazer transcatheter septal occluder devices in the heart, the operator demonstrating the product was able to push the lighting source behind the devices into the other chamber of the heart. This illuminated a hole that was still present that the occluders did not seal.

An example of Philips' TrueVue technology, which offers photo-realistic rendering and the ability to change the location of the lighting source on 3-D ultrasound images. In this example of two Amplazer transcatheter septal occluder devices in the heart, the operator demonstrating the product was able to push the lighting source behind the devices into the other chamber of the heart. This illuminated a hole that was still present that the occluders did not seal. 

Feature | Ultrasound Imaging | February 07, 2019 | Dave Fornell, Editor
Here is a list of six key trends in ul...
Epiq Elite for Obstetrics and Gynecology delivers high image quality and lifelike 3-D scans

The Epiq Elite for Obstetrics & Gynecology. Image courtesy of Philips Healthcare.

Technology | Ultrasound Imaging | February 07, 2019
Philips announced the launch of the Epiq Elite ultrasound system, a new premium ultrasound that combines the latest...
Konica Minolta Releases Sonimage HS1 Ultrasound Software Upgrade
News | Ultrasound Imaging | January 31, 2019
Konica Minolta Healthcare Americas Inc. released a new software upgrade for the Sonimage HS1 Ultrasound System that...
QTbreasthealth Opens New Breast Ultrasound Imaging Center in Grand Rapids
News | Ultrasound Women's Health | January 30, 2019
January 30, 2019 — QTbreasthealth launched a center in Grand Rapids, Mich., featuring its quantitative transmission
RadiologyInfo.org Launches RadInfo 4 Kids
News | Pediatric Imaging | January 28, 2019
RadiologyInfo.org recently launched RadInfo 4 Kids, a new section of the website with videos, stories, games and...
ASE Releases New Guide to Performing Comprehensive Transthoracic Echo Exams
News | Cardiovascular Ultrasound | January 21, 2019
January 21, 2019 – Medical experts have released “...