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Updated: Jun 10, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Recommendations for transoesophageal echocardiography: update 2010.
F A Flachskampf1, L Badano, W G Daniel
1Med.Klinik 2, University of Erlangen, Erlangen, Germany. frank.flachskampf@uk-erlangen.de
Transoesophageal echocardiography (TOE) provides essential clinical insights. Updated guidelines cover new 3D imaging, aortic valve repair, valvular interventions, and perioperative applications for this vital diagnostic tool.
Area of Science:
- Cardiology
- Medical Imaging
- Echocardiography
Background:
- Transoesophageal echocardiography (TOE) is a cornerstone of modern clinical practice.
- Previous recommendations for TOE were established in 2001 by the European Society of Cardiology Working Group on Echocardiography.
- Significant advancements in technology and clinical applications necessitate an update.
Purpose of the Study:
- To provide updated and extended recommendations for clinical transoesophageal echocardiography.
- To incorporate recent technical innovations, including 3D transoesophageal echo.
- To detail evolving applications in aortic valve repair, valvular interventions, and perioperative settings.
Main Methods:
- Review and synthesis of current literature and expert consensus.
- Inclusion of new technical developments in echocardiographic imaging.
- Focus on practical application in interventional cardiology and cardiac surgery.
Main Results:
- The updated recommendations address 3D transoesophageal echocardiography.
- Specific guidance is provided for TOE use in aortic valve repair and valvular interventions.
- A comprehensive section on perioperative transoesophageal echocardiography is included.
Conclusions:
- These updated guidelines enhance the utility of transoesophageal echocardiography in clinical practice.
- The recommendations facilitate the integration of advanced TOE techniques and applications.
- They aim to standardize and improve the quality of care involving TOE procedures.
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