Table 1

3DE modalities: benefits and limitations

3DE modalityUtilityAdvantagesLimitations
3D TTE
  • Real-time comprehensive evaluation of cardiac chambers and valves

  • Non-invasive

  • High patient tolerability

  • Detailed anatomic information

  • Large availability (bedside)

  • Poor acoustic window

  • Operator dependency

3D TOE
  • Higher resolution imaging

  • Better visualization of posterior cardiac chambers

  • Superior image quality

  • Intraoperative and perioperative assessment of intracardiac structures

  • Less dependent on acoustic window

  • Invasive procedure

  • Associated procedural risks

  • Limited availability

  • Need for trained practitioners

3DE modalityUtilityAdvantagesLimitations
3D TTE
  • Real-time comprehensive evaluation of cardiac chambers and valves

  • Non-invasive

  • High patient tolerability

  • Detailed anatomic information

  • Large availability (bedside)

  • Poor acoustic window

  • Operator dependency

3D TOE
  • Higher resolution imaging

  • Better visualization of posterior cardiac chambers

  • Superior image quality

  • Intraoperative and perioperative assessment of intracardiac structures

  • Less dependent on acoustic window

  • Invasive procedure

  • Associated procedural risks

  • Limited availability

  • Need for trained practitioners

TOE, transoesophageal echocardiography; TTE, transthoracic echocardiography.

Table 1

3DE modalities: benefits and limitations

3DE modalityUtilityAdvantagesLimitations
3D TTE
  • Real-time comprehensive evaluation of cardiac chambers and valves

  • Non-invasive

  • High patient tolerability

  • Detailed anatomic information

  • Large availability (bedside)

  • Poor acoustic window

  • Operator dependency

3D TOE
  • Higher resolution imaging

  • Better visualization of posterior cardiac chambers

  • Superior image quality

  • Intraoperative and perioperative assessment of intracardiac structures

  • Less dependent on acoustic window

  • Invasive procedure

  • Associated procedural risks

  • Limited availability

  • Need for trained practitioners

3DE modalityUtilityAdvantagesLimitations
3D TTE
  • Real-time comprehensive evaluation of cardiac chambers and valves

  • Non-invasive

  • High patient tolerability

  • Detailed anatomic information

  • Large availability (bedside)

  • Poor acoustic window

  • Operator dependency

3D TOE
  • Higher resolution imaging

  • Better visualization of posterior cardiac chambers

  • Superior image quality

  • Intraoperative and perioperative assessment of intracardiac structures

  • Less dependent on acoustic window

  • Invasive procedure

  • Associated procedural risks

  • Limited availability

  • Need for trained practitioners

TOE, transoesophageal echocardiography; TTE, transthoracic echocardiography.

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