Transesophageal Echocardiography (TEE)

    • Purpose: Provides detailed images of the heart's structure and function, often used when more detailed imaging is required than standard echocardiography can provide.
    • Procedure: A probe is inserted into the esophagus, which is located close to the heart, to obtain high-resolution images using ultrasound.
    • Note: The information provided here applies to elective Transesophageal Echocardiography (TEE) procedures without extraordinary circumstances. However, the specifics may vary depending on individual patient factors, such as the presence of other heart conditions, patient tolerance to the procedure, or complications that might arise during or after the procedure. Additionally, TEE is often performed in conjunction with other diagnostic or therapeutic interventions, which could affect the procedure's complexity and duration.

      Inpatient/Outpatient
      TEE is typically performed as an outpatient procedure, but in some cases, it may be done in an inpatient setting, especially if the patient is already hospitalized for other reasons or if TEE is part of a more comprehensive evaluation or treatment plan. If complications are expected or if the patient has significant comorbidities, they may be monitored in the hospital for a short period post-procedure.

      Hospital Stay Duration
      Most patients can expect to go home the same day after TEE, typically within a few hours of the procedure. However, if TEE is conducted alongside other procedures or if the patient experiences complications such as persistent throat discomfort or arrhythmias, an overnight stay might be required for further observation.

      Type of Anesthesia
      The procedure is usually performed under conscious sedation, combined with a local anesthetic spray to numb the throat. This helps to minimize discomfort while the probe is inserted into the esophagus. In some cases, general anesthesia might be used, particularly if the patient cannot tolerate sedation or if TEE is performed in conjunction with other more invasive procedures.

      Travel After Procedure
      Patients are generally advised to avoid travel for at least 24 hours after the procedure, particularly if sedation was used. This allows time for the sedation to wear off completely and for any minor discomfort from the procedure to subside.

      Pre-procedure Preparation
      Patients are typically asked to fast for 4-6 hours before the procedure to ensure an empty stomach, which helps reduce the risk of aspiration during the procedure. Patients should also inform their healthcare provider of any medications they are taking, especially blood thinners, as adjustments may be necessary.

      Procedure Duration
      TEE usually takes about 30 to 60 minutes to complete, though the total time spent at the medical facility may be longer due to pre-procedure preparation and post-procedure recovery.

      Recovery Time
      Most patients recover quickly and can resume normal activities the day after the procedure. However, it is recommended to rest for the remainder of the day following the procedure, especially if sedation was used. Mild throat discomfort may persist for a day or two.

      Estimated Cost
      The cost of TEE can vary depending on the hospital, geographic location, and whether the procedure is performed alongside other diagnostic tests or treatments. Patients should contact their healthcare provider or hospital for detailed pricing information.

      Post-procedure Care
      After the procedure, patients may experience mild throat irritation or discomfort, which typically resolves within a day or two. Patients should follow up with their healthcare provider to review the results of the TEE and discuss any further diagnostic tests or treatments if necessary.