ABSTRACT

Preparation e patient typically fasts for 6 hours before the introduction of the TEE probe. Under deep sedation with local anesthetic aerosol spray or preferably under general anesthetic, the probe is gently introduced while the patient does the swallowing movements lying in a lateral decubitus position. A mouth guard is applied to protect the patient as well as the probe. Ideally, the output from the echo monitor should be displayed by the side of the angiography display system with the operator positioned at the same side as the

interventionist, allowing easy observation of the procedure and direct interactions.