Recommended Standards for the Performance of Transesophageal Echocardiographic Screening for Structural Heart Intervention: From the American Society of Echocardiography

•Pre-interventional TEE acquired by a level II trained echocardiographer is standard practice.•The current reference guideline focuses on the acquisition of pre-interventional TEE images that would help accurately identify the mechanism, severity and anatomy of structural/valvular dysfunction.•Imaging protocols should be tailored to be comprehensive but focused on the abnormal structure identified and/or transcatheter intervention under consideration.•Appropriate image acquisition will facilitate assessment of device candidacy, procedural planning and intra-procedural imaging guidance.