Safety of transesophageal echocardiography

J Am Soc Echocardiogr. 2010 Nov;23(11):1115-27; quiz 1220-1. doi: 10.1016/j.echo.2010.08.013.


Since its introduction into the operating room in the early 1980s, transesophageal echocardiography (TEE) has gained widespread use during cardiac, major vascular, and transplantation surgery, as well as in emergency and intensive care medicine. Moreover, TEE has become an invaluable diagnostic tool for the management of patients with cardiovascular disease in a nonoperative setting. In comparison with other diagnostic modalities, TEE is relatively safe and noninvasive. However, the insertion and manipulation of the ultrasound probe can cause oropharyngeal, esophageal, or gastric trauma. Here, the authors review the safety profile of TEE by identifying complications and propose a set of relative and absolute contraindications to probe placement. In addition, alternative echocardiographic modalities (e.g., epicardial echocardiography) that may be considered when TEE probe placement is contraindicated or not feasible are discussed.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Cardiac Surgical Procedures*
  • Echocardiography, Transesophageal / adverse effects*
  • Echocardiography, Transesophageal / methods
  • Esophageal Perforation / epidemiology
  • Esophageal Perforation / etiology
  • Female
  • Gastrointestinal Hemorrhage / epidemiology
  • Gastrointestinal Hemorrhage / etiology
  • Humans
  • Intraoperative Care / methods
  • Intraoperative Complications / prevention & control
  • Male
  • Postoperative Complications / prevention & control
  • Primary Prevention / methods*
  • Risk Assessment
  • Safety Management