Table 5. Comparison of transesophageal and transthoracic 3D echocardiography.
Modalities | Advantages | Chamber assessment | Valvular lesions | Special considerations | Interventional guidance |
Transesophageal 3DE | Unobstructed views, close to structures | LA, LV, RV | MV, AV, TV | 3D STE | TAVR, MV clip, LAA occlusion |
Transthoracic 3DE | Convenient, noninvasive, repeat study as needed | LA, LA, RV | MV, AV, TV | Contrast 3DE, 3D STE, Stress 3DE |
AV, aortic valve; LA, left atrium; LAA, left atrial appendage; LV, left ventricle; MV, mitral valve; RV, right ventricle; TAVR, transcatheter aortic valve replacement; TV, tricuspid valve; 3DE, 3D echocardiography; 3D STE, three-dimensional speckle-tracking echocardiography.