Transesophageal Echocardiography
What to Expect
What to Do the Night Before
You will need to fast, or have nothing to eat or drink, for six to eight hours prior to the procedure. Your physician may instruct you to take your usual morning medications with a small sip of water. Make arrangements to have someone drive you home following the procedure, as you will most likely be too drowsy to drive. If you wear dentures or any oral prosthesis, bring a container to put them in, as they will be removed prior to insertion of the TEE probe. If you have an artificial heart valve, a congenital heart condition, or a history of endocarditis (infection of the heart valves), be sure to notify your physician, as you will need to receive IV antibiotics before the procedure.
Diagnostic Tests Before the Procedure
These will vary, depending on the reason for your procedure. An EKG and regular echo may have been done. Blood tests such as a blood count, electrolyte levels (potassium, magnesium, calcium, etc.), or other tests may have been done.
Scheduling/Registration Information
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Where the Procedure is Done
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Who Performs the Procedure
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Directions to the Hospital
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It is important to arrive at your scheduled time. Your procedure may not begin immediately due to varying lengths of procedures scheduled before your procedure. You will be updated as frequently as possible.
Preparing for the Procedure in the Hospital
- Description of IV, site preparations, and medications that may be administered - An intravenous (IV) line will be inserted in your hand or arm. EKG electrodes will be placed on your chest. If your chest is very hairy, small patches of skin may be shaved so that the electrodes will make very close contact with the skin. A numbing spray such as Cetacaine (lidocaine) or Hurricaine will be sprayed in the back of your throat to make passing the TEE probe into your throat more comfortable. Sedative medications may be given in the IV to help you relax and remain comfortable during the procedure. You may be given a dose of IV antibiotics prior to the procedure, if indicated.
- Consent forms - You will be asked to sign a consent form after your physician explains the procedure, its purpose, any risks, and the expected outcome. You should read through the consent carefully before signing it. If you have any questions or need more information, ask your physician.
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Heart Center
Heart & Vascular Programs
Heart Procedures - Transesophageal Echocardiography - Page 1