Video tutorial introducing to the use of Transesophageal Echocardiography and MrTEEmothy®

MST Masterclass

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.

Lesson 1

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.

MST Masterclass - Lesson 01 - Indications and complications of TEE
MST Masterclass – Lesson 01 – Indications and complications of TEE

Lesson 2

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.

MST Masterclass - Lesson 02 - How to insert the TEE probe
MST Masterclass – Lesson 02 – How to insert the TEE probe

Lesson 3

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.

MST Masterclass - Lesson 03 - First steps in TEE
MST Masterclass – Lesson 03 – First steps in TEE

Lesson 4

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.

MST Masterclass - Lesson 04 - Movements of the TEE probe
MST Masterclass – Lesson 04 – Movements of the TEE probe

Lesson 5

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.

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 05 – Overview of different depths of TEE examination

Lesson 6

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.

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 06 – Depths of TEE examination in practice

Lesson 7

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.

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 07 – Plane rotation and probe rotation

Lesson 8

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.

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 08 – Anteflex and retroflex

Lesson 9

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.

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 09 – Performing the first TEE: upper esophageal position

Lesson 10

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®.

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 10 – Performing the first TEE: aortic valve examination

Lesson 11

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!

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 11 – RV inflow and outflow and bicaval view

Lesson 12

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.

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 12 – Assessment of the mitral valve (part 1)

Lesson 13

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.

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 13 – Assessment of the mitral valve (part 2)

Lesson 14

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.

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 14 – Mitral valve 3D view

Lesson 15

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.

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 15 – Mitral valve 3D view

Lesson 16

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.

MST Masterclass - Lesson 05 - Overview of different depths of TEE examination
MST Masterclass – Lesson 16 – Transgastric position

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.

Video tutorial: MrTEEmothy - a CT based TEE simulator
MrTEEmothy – a CT based TEE simulator

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.

Video tutorial: MrTEEmothy - Mitral Valve 3D Exam
MrTEEmothy – Mitral Valve 3D Exam

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.

Video tutorial: Assessing patient after TAVI procedure - transesophageal echocardiography
Assessing patient after TAVI procedure – transesophageal echocardiography

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.

Video tutorial: Enhancements in MrTEEmothy
Enhancements in MrTEEmothy

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.

Video tutorial: TEE assessment - left atrial appendage - important tips
TEE assessment – left atrial appendage – important tips

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.

Video tutorial: Optimal imaging of the left atrial appendage (LAA)
Optimal imaging of the left atrial appendage (LAA)

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.

Video tutorial: Sample TEE examination - interpret it yourself
Sample TEE examination – interpret it yourself

8. Mechanical Mitral Valve with paravalvular leak

Check how to assess paravalvular leak (PVL) after mitral valve replacement (MVR).

Video tutorial: Mechanical Mitral Valve with paravalvular leak
Mechanical Mitral Valve with paravalvular leak

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.

Video tutorial: TEE with dissected aorta after complex intervention
TEE with dissected aorta after complex intervention

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.

Video tutorial: TEE simulator - Mitral Valve Prolapse
TEE simulator – Mitral Valve Prolapse

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.

Video tutorial: Mitral Valve 3D Examination
Mitral Valve 3D Examination

12. Bicuspid aortic valve BAV

Video tutorial: Bicuspid aortic valve BAV - check description for BlackWeek promotion
Bicuspid aortic valve BAV – check description for BlackWeek promotion

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.

Video tutorial: Functional mitral regurgitation
Functional mitral regurgitation

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.

Video tutorial: Obtaining transgastric views
Obtaining transgastric views

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.

Video tutorial: Remote Teaching Tools
Remote Teaching Tools

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.

Video tutorial: Automatic ASE TEE Views Trainer
Automatic ASE TEE Views Trainer

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.

Video tutorial: Transseptal Puncture
Transseptal Puncture