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Updated: May 2, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Recommendations for transoesophageal echocardiography: EACVI update 2014.
Frank A Flachskampf1, Patrick F Wouters, Thor Edvardsen
1Uppsala University, Institut för Medicinska Vetenskaper, Akademiska sjukhuset, Ingång 40, Plan 5, 75185 Uppsala, Sweden.
This updated guideline provides recommendations for transoesophageal echocardiography (TOE) in interventional cardiology and complex cardiac conditions. It covers transcatheter interventions, infective endocarditis, congenital heart disease, and aortic disease.
Area of Science:
- Cardiovascular Imaging
- Interventional Cardiology
Background:
- The European Association of Cardiovascular Imaging (EACVI) periodically updates its guidelines.
- Transoesophageal echocardiography (TOE) is a crucial imaging modality in cardiology.
Purpose of the Study:
- To present updated recommendations for the use of TOE.
- To focus on interventional TOE and specific complex cardiac conditions.
Main Methods:
- Guideline development by the European Association of Cardiovascular Imaging.
- Review and synthesis of current evidence and expert consensus.
Main Results:
- Recommendations for TOE in transcatheter aortic, mitral, and left atrial appendage interventions.
- Guidance on the role of TOE in infective endocarditis, adult congenital heart disease, and aortic disease.
Conclusions:
- Updated recommendations enhance the application of TOE in interventional and complex cardiovascular settings.
- These guidelines aim to standardize and improve patient care through advanced echocardiography.
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