on March 9, 2024 at 12:14 PM

Interventional TEE


From: Smadar Kort

User Posts: 2 - Getting Started

Im interested to know who is performing TEE guided transcatheter interventions (LAAC, Mitral, Tricuspid, ASD/PFO) in your institutions (anesthesia vs cardiology). If done by cardiologist – who is placing the TEE probe (anesthesia vs cardiology). 

Thank you!

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on March 18, 2024 at 8:19 AM

From: David Skolnick

User Posts: 0 - Getting Started

We have a small group of dedicated echo-boarded cardiologists who guide all the structural cases.

David Skolnick, MD

Saint Luke’s Hospital

Kansas City, MO

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on March 14, 2024 at 1:47 PM

From: Franklin Schneider (Director, Vascular and Nuclear Laboratories)

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At our hospital we have a hybrid model.  5/6 interventional echocardiographers are cardiologists.  1/6 is a cardiac anesthesiologist.  All imagers have advanced echo training.  The imaging doc inserts the TEE probe, which is documented in the structural report.

--
Franklin Schneider, MD
on March 13, 2024 at 10:07 AM

From: Roosha Parikh

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Cardiology started pushing for probe insertion for interventional TEE so we can get our complete RVU since 1/3 is inculved in probe insertion. Need to make sure to document in our report.

--
Roosha  Parikh


on March 13, 2024 at 8:46 AM

From: Anna Fuji Rahimah

User Posts: 1 - Getting Started

In my institution, interventional TEE was performed by a cardiologist that has advanced echocardiography certification.

Both specialties are well capable of doing probe insertions, but mostly anesthesiologist did the insertion. We work as a team.

on March 13, 2024 at 7:40 AM

From: Ifeoma Ugonabo

User Posts: 1 - Getting Started

Cardiology performs TEEs as well as places probes for transcatheter  procedures

on March 12, 2024 at 7:46 PM

From: Carissa Lara (ACS)

User Posts: 1 - Getting Started

Anesthesia usually performs the TEE at my institution.

on March 10, 2024 at 3:42 PM

From: Mounir F. Banoub

User Posts: 0 - Getting Started

In most cases , a dedicated cardiologist does the TEE for mitral clips and LAA
Anesthesia places the probes 60 % of time- especially if difficulty is encountered.

Anesthesia ( myself ) does TEE  for TAVRs done under GA and for Watchman's. I have done TEE for ASD device closures in children.
Very Sincerely Yours
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Professor of Anesthesiology and CCM

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on March 10, 2024 at 12:17 PM

From: Philip Andrew Gideon

User Posts: 0 - Getting Started

Cardiologist does intubation and procedure guidance.


Philip Gideon
Banner University of Arizona Medical Center Phoenix

on March 10, 2024 at 8:55 AM

From: Joshua Eric Levenson

User Posts: 0 - Getting Started

both cardiology and anesthesia are involved - when cardiology is doing the TEE for that day, cardiology places the probe. we share the days with cardiac anesthesia. sometimes, anesthesia helps us to place the probe when airway is small. 


Joshua Levenson, MD FACC

Director, UPMC Center for Cardio-Oncology, ICOS Designated Center of Excellence (Gold Status)

Co-Director, Noninvasive Cardiology UPMC Shadyside Hospital 

Associate Director, UPMC Cardiology Fellowship Program

Assistant Professor of Medicine,  University of Pittsburgh School of Medicine  Division of Cardiology

5200 Centre Avenue, Suite 514 | Pittsburgh, PA 15213 |  412-621-1500 (Office) | 4 12-779-0677 (cell) 

on March 10, 2024 at 8:21 AM

From: Yasmin Shamshuddin Hamirani

User Posts: 1 - Getting Started