• Pre-interventional TEE acquired by a advanced echocardiographer is standard practice.
  • The current reference guideline focuses on the acquisition of pre-interventional TEE images that would help accurately identify the mechanism, severity and anatomy of structural/valvular dysfunction.
  • Imaging protocols should be tailored to be comprehensive but focused on the abnormal structure identified and/or transcatheter intervention under consideration.
  • Appropriate image acquisition will facilitate assessment of device candidacy, procedural planning and intra-procedural imaging guidance.