When performing TEE, don’t chase the multiplane angle (rotation sign). Chase the anatomy. Identify the landmarks that define the target view and use probe manipulation to bring those structures into the imaging plane. The angle displayed on the screen is only a guide #echofirst

Patient anatomy, probe position, and cardiac orientation vary considerably. A “correct” view is defined by the structures you see, not by the number on the omniplane dial.

I encourage my fellows to optimize image acquisition by selecting the appropriate probe frequency for each view and by carefully balancing sector width and frame rate to achieve the best possible image quality #echofirst

Very true! Distal LAD-occlusion?

👍

That's what I'm telling my fellows all day long. Don't learn angles, learn anatomy and build up your exam by going from anatomical structure to anatomical structure. This way you don't get lost and can handle uncommon situations.