Video tutorial introducing to the use of Transesophageal Echocardiography and MrTEEmothy®
We are pleased to inform you that we have just launched the new YouTube and Instagram series called “MST Masterclass”. In these brief movies, we will describe a complete TEE examination performed by young cardiologists or cardiology residents who are currently not performing TEE studies. All demonstration will be performed with use of our best MrTEEmothy® simulator.
In this video – Lesson 01 – Prof. Andrzej Gackowski will describe some basic information about TEE examination, indications and most frequent complications. We will publish each video every Monday – starting from now. Good luck, and enjoy our educational content. Be sure to click subscribe and observe the rest of the Masterclass.
We present the 2nd video in the MST Masterclass series. This time it covers from basic probe information about TEE examination. We discuss here how to put the TEE probe into the patient’s mouth, possible swallowing problems, and what must be done before every TEE examination.
What were your first steps in TEE? Or maybe this is still in front of you? Lesson 3 will help you do first steps in your first TEE examination.
Lesson 4 is about learning how to handle the probe and what movements we can do during TEE. A brief explanation of buttons available on the probe – what they do while rotation clock-wise or counter clock-wise.
Here we briefly present the basic TEE probe levels of examination following current American Society of Echocardiography guidelines (ASE 2022) by Prof. Rebecca T. Hahn, MD, FASE et al.
Next episode of TEE probe movements during first TEE examination. Check how we can quickly assess all of the views and how easy it is to learn how to do so before your first attempt with an actual patient.
How to rotate the probe and how to rotate the plane of examination? What are the differences in those rotations in our MrTEEmothy® best CT-based TEE simulator.
Here we present the basic description of flexing the transesophageal TEE probe to further start the examination of a simulated-patient-based on a realistic CT-heart model.
If you want to improve your manoeuvrability of the TEE probe – check out this video.
This time upper esophageal views! What can be seen from UE position, and how to do it better and simply.
This time evaluation of the aortic valve. How to do it properly? Remember to keep your point of interest in the very centre of the image. See it from two orthogonal perspectives – to analyse it better or simply use xPlane mode if your machine can do so. Simple? Practice, practice, practice… best results after intensive training on a TEE simulator like MrTEEmothy®.
RV inflow-outflow and bicaval views are very important for many structural heart interventions such as: MitraClip or LAAO procedures or many others. Please appreciate our new release of MST MasterClass about those projections in TEE examination. Practice makes perfect!
Now is finally the time for the mitral valve assessment. Here we present how to properly go into the assessment of mitral leaflets and regurgitation. How to go back to mitral valve assessment from what you performed before.
Please find the second video about the mitral valve assessment. Here we present how to properly go into the assessment of mitral leaflets and regurgitation. Specifically: how to optimize the image for mitral annulus, switching from 4ch view to commissural view, which are mostly used in TEE examination.
Here we present the 3rd movie about mitral valve assessment. Please watch a complete video set about mitral valve, including two of our previous movies. I ensure you, you will find it useful. We present a very educational video about anatomical relations between mitral and aortic valves. We explain how xPlane mode works and how a 3D view can be useful in mitral valve assessment.
Left atrial appendage (LAA) assessment remains the most frequent reason for performing transesophageal echocardiography. Here we present how to perform such analysis with our MrTEEmothy TEE Simulator.
Here we present one of the most challenging views in echocardiography – transgastric views. They are problematic because they usually are uncomfortable for patients – therefore, a vast possibility to learn from our MrTEEmohy would be a great chance to master your skills before your first attempt to TG views.
Measuring velocities and gradients through the aortic valve and LVOT is crucial during TEE assessment. Here we briefly present how to go to longitudinal transgastric view and how making the doppler CW or PW coaxially to measured flow is essential to correct results.
Now we are going a bit deeper – to deep transgastric views. Follow simple rules at the beginning to go further.
Performing first TEE examination is challenging!
This is why, it’s easier with MrTEE simulator. Practicing TEE movements and manoeuvres can help both you and your patients to avoid common mistakes.
Please enjoy this video on how Dr. Aleksander Siniarski is trying to perform complete TEE examination, of course with tutoring of Prof. Andrzej Gackowski.
Performing the second TEE examination by Dr. Aleksander Siniarski. As usual, an expert Prof. Andrzej Gackowski, is making some comments how to improve your skills in the TEE examination. Check what mistakes would you do during your TEE examination and how to avoid them? Practice, practice, practice. And the best way to practice TEE in a stressless environment is definitely the MrTEEmothy simulator. Check the full version with the phantom and PC included or an online version of the simulator on which you can practice on your laptop.
With MrTEEmothy it becomes straightforward to practice TEE examination. The function of ASE trainer is a very useful tool in learning to be better each examination during you first simulator-based TEE movements.
First attempt to do full training with ASE trainer. Great possibility to learn with this tool – so intuitive and very fun to use!
Very first steps in TEE examination performed by young cardiology trainee – Dr. Aleksandra Woźniak. It nicely shows that it doesn’t matter what your initial skills are. You can really improve them by practising on our MrTEEmothy TEE simulator. Even being an expert in the TEE, you can definitely learn something new and important for your daily practice.
MrTEEmothy video tutorial
Please, look at the example of educational movies explaining the TEE exam views with the use of MrTEEmothy® simulator by MST.
1. MrTEEmothy TEE Basic Training
MrTEEmothy® is a professional medical simulator used for learning new skills in cardiology. Our simulator is based on real data from CT scans – and that is why it makes it very unique. Most of the other devices use artificial images to create something that resembles the echocardiographic images. Please check our video and if you are interested to learn new skills – MrTEEmothy is ready to purchase for your institution.
2. Mitral Valve 3D Exam
Here we present a sample of mitral valve 3D examination by our TEE simulator – MrTEEmothy. Learn new skills in echocardiography.
3. Assessing patient after TAVI procedure – transesophageal echocardiography
Check our new video about how to assess a patient after the TAVI procedure with transesophageal echocardiography (TEE). Using our CT-based MrTEEmothy phantom simulator we are able to show step by step what needs to be done in such patients.
4. Enhancements in MrTEEmothy
Check our Enhancements mode in the phantom medical TEE simulator – MrTEEmothy. To learn where to find specific heart structures, the Enhancements will guide you to target the best view.
5. TEE assessment – left atrial appendage – important tips
The left atrial appendage analysis is one of the most widely used indications for TEE. How to properly assess the LAA – see in our MrTEEmothy simulator.
6. Optimal imaging of the left atrial appendage (LAA)
How to properly see the left atrial appendage (LAA)? What are the tips and tricks while doing such an examination? Prof. Gackowski nicely explains how the TEE examination of LAA should be performed and gives tips on what might be a problem while doing so.
7. Sample TEE examination – interpret it yourself
Here we present a sample of the full TEE examination. Learn how to do it with our MrTEEmothy.
8. Mechanical Mitral Valve with paravalvular leak
Check how to assess paravalvular leak (PVL) after mitral valve replacement (MVR).
9. TEE with dissected aorta after complex intervention
Here we present a fascinating case of a patient with the dissected aorta after a quite complex aortic valve intervention. Notice that this presentation is entirely made in MrTEEmothy simulator, and all image acquisitions are based on CT scans. Experience how it would be in a real-life case like this one.
10. TEE simulator – Mitral Valve Prolapse
Check our new video presenting a mitral valve prolapse! Prof. Andrzej Gackowski nicely explains how to assess the TEE projections – demonstrated by our finest TEE simulator – MrTEEmothy.
11. Mitral Valve 3D Examination
Here we present how to properly check mitral valve using the 3D technique – xPLANE mode. Careful rotation of the probe in very specific angles give you insight if the mitral leaflets are damaged, flail, prolapsing, etc.
12. Bicuspid aortic valve BAV
13. Functional mitral regurgitation
Please check our new video, demonstrating how to perform a 3D transesophageal echocardiography in patients with functional mitral regurgitation. See best positions for describing the vena contract of the regurgitant jet, and how to navigate during invasive interventions on the mitral valve.
14. Obtaining transgastric views
This video aims to show you how to assess transgastric views in transesophageal echocardiography. Notice, that those views could be most uncomfortable for your patients, therefore it’s better to learn them through medical simulation device such as MrTEEmothy.
15. Remote Teaching Tools
Please, see how to use our MrTEEmothy or eTEEmothy as the remote teaching/learning tool. Prof. Andrzej Gackowski nicely explains what is possible in our most advanced TEE simulator.
16. Automatic ASE TEE Views Trainer
Here we present a sample of a great tool available in our eTEEmothy – ASE (American Society of Echocardiography) trainer. It enables the practice of the perfect TEE views as recommended in the ASE guidelines. Check our video in which we show how it works.
17. Transseptal Puncture
Here we present a brief video about adequately planning and performing the transseptal puncture – so crucial for many left heart interventions such as transcatheter edge-to-edge mitral Valve repair, e.g., MitraClip.