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Contraindications for transesophageal echocardiography (TEE)

Contraindications for transesophageal echocardiography (TEE)
Absolute contraindications to TEE
History of esophagectomy
Planned esophagectomy
Operations involving the pharynx, esophagus, or stomach
Perforated viscus
Esophageal stricture
Esophageal tumor
Esophageal perforation, laceration
Esophageal diverticulum
Active upper GI bleed
Relative contraindications to TEE
History of radiation to neck and mediastinum
History of GI surgery
Recent upper GI bleed
Barrett's esophagus
History of dysphagia
Known or suspected cervical spine injury
Restriction of neck mobility (severe cervical arthritis, atlantoaxial joint disease)
Symptomatic hiatal hernia
Esophageal varices
Coagulopathy, thrombocytopenia
Active esophagitis
Zenker's or hypopharyngeal diverticulum
Active peptic ulcer disease
GI: gastrointestinal.
Original figure modified for this publication. From: Hahn RT, Abraham T, Adams MS, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogra 2013; 26:921. Table used with the permission of Elsevier Inc. All rights reserved.
Graphic 121131 Version 2.0

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