Sarah Nicole Trembley

All things Organ Transplantation 🤖 ❤️‍🩹 🫁 #MCSNerd #EveryoneHasSomeKindOfHeart #ENFP 🥳 #DonateLife

[CardiovascularCorner @TrackYourHeart]

Mastering TEE Probe Manipulation & Positioning!

Transesophageal Echocardiography (TEE) is a powerful imaging technique, but proper probe control is essential for optimal cardiac visualization.

🔹 (1) Probe Manipulation – Understanding Movements
TEE probe movement is controlled via a handle with adjustable knobs:

✅ Transducer Rotation (Electronic Control):
🔄 Forward rotation (0° → 180°)
🔄 Backward rotation (180° → 0°)
This adjusts the transducer plane to obtain different imaging angles.

✅ Anteflexion & Retroflexion (Large Knob):
▶️ Anteflexion: The probe tip bends forward (toward anterior structures like the LVOT, mitral valve).
◀️ Retroflexion: The probe tip bends backward (helpful for imaging the LA, pulmonary veins, or deep transgastric views).

✅ Right & Left Flexion (Small Knob):
↪️ Right Flexion: The probe tip moves to the right, optimizing alignment with right heart structures.
↩️ Left Flexion: The probe tip moves to the left, improving views of left-sided heart structures.

✅ Advance & Withdraw:
⬆️ Advancing moves the probe deeper (toward the stomach for transgastric views).
⬇️ Withdrawing pulls the probe back (toward the upper esophagus for great vessel imaging).

🔹 (2) Esophageal Probe Positions
TEE imaging is performed from different locations along the esophagus and stomach to achieve various cardiac views:

📍 Upper Esophageal (UE):
🔹 High esophageal position (near the oropharynx)
🔹 Best for imaging the great vessels & aortic arch

📍 Mid-Esophageal (ME):
🔹 Most commonly used position
🔹 Offers multiple cross-sectional views of the atria, ventricles, valves, & aorta

📍 Transgastric (TG):
🔹 Probe advances into the stomach
🔹 Provides short-axis views of the left ventricle (LV)

📍 Deep Transgastric (DTG):
🔹 Further advancement into the stomach
🔹 Optimized Doppler alignment with the LVOT, aortic valve, & ascending aorta

TEE is both an art & science—refining probe manipulation improves diagnostic accuracy and procedural success!

Source: Catherine M. Otto, Textbook of Clinical Echocardiography
#Cardiology #TEE #Echocardiography #MedicalImaging

[Sarah Nicole Trembley @xremblex]

@najibadn @argulian Thanks Najib, Is this verified correct yet? anyone 👀

[Edgar Argulian @argulian]

A patient in ICU. CW Doppler interrogation is performed across the mitral valve in 4-chamber view. What are the waves labeled A-E and what are the hemodynamic implications?

[Sarah Nicole Trembley @xremblex]

Earlier, there was a time when this street looked like this….

Cherish your hometown. #RestInPalisades #Paligirl

[2131Jan✡️ #LoveWins #🟦Stand Up to Jewish Hate @2131Jan]

Every house from chautaquea on sunset to village burned down
Ralph's and gelsons gone
palisades village ALL there and stayed in tact
car wash gone
Pali elementar gone
gas stations gone
all of alphabet street gone
library gone #PalisadesFire

[Oren Gottfried, MD @OGdukeneurosurg]

Upper GI physiology

[Sarah Nicole Trembley @xremblex]

@MPowersNorrell Beautiful photo 💕

[Artificial Organs @ArtifOrgans]

Please join the 30th annual meeting of @Intl_ISMCS in #Utsunomiya 🇯🇵 (November 13-15, 2024).
Preliminary program 👇
https://t.co/pVVICHARGF

[Sarah Nicole Trembley @xremblex]

@Lazycellinc But what is this!!!!?!

[Sarah Nicole Trembley @xremblex]

@HeartHackathon Great meeting!!

[Sarah Nicole Trembley @xremblex]

@HeartHackathon @Intl_ISMCS 🥳

[SynCardia Total Artificial Heart @SynCardia]

Did you know?

Back in 2004, the SynCardia 70cc Total Artificial Heart received FDA approval. Here's to many more years of innovation, progress, and lifesaving moments with the SynCardia Total Artificial Heart!

#SynCardia #heartfailure #CVD #TAH #MCS #artificialheart #medtech

[Sarah Nicole Trembley @xremblex]

@DrMarthaGulati @MGsHusband @DBelardoMD @netta_doc @HeartOTXHeartMD @mardigomberg @PPirlamarla_MD @kewatson @JanetWeiMD @Baireymerz @rchannick Wow, you deserve it!

Thanks for all you do, all day every day.

-one (of many) AHF cheerleaders

[Sarah Nicole Trembley @xremblex]

I have a meeting this week with @HeartHackathon on all things upcoming AHF competitions.

With the recent outcomes regarding kidney and heart xenotransplant recipients… the future of (h)tx is still reliant on MCS, and I’m very proud to support that road in the interim.

[Shelley Hall @shelleyhallmd]

We all need to get involved and take responsibility for what isn’t working and celebrate in what is!!

[Bridge to Life @BridgetoLifeLTD]

The International Workshop on Uncontrolled & Controlled Donation After Circulatory Death is addressing the growing interest in DCD donors to increase organ availability. The VitaSmart from #BridgetoLife will be there as part of the Machine Perfusion wet lab.
#MachinePerfusion

[Sarah Nicole Trembley @xremblex]

@HenryBarajas @MustacheBabs Lies!

[Sarah Nicole Trembley @xremblex]

@HenryBarajas Guess you better start directing 🤷‍♀️

[Sarah Nicole Trembley @xremblex]

@ssilvestryMD @shelleyhallmd @KeyurBShahRIC @NahushMokadam @HeartHackathon @DrClaudiusMahr @SuzanneTubbsRN @asaiojournal 😊

[Sarah Nicole Trembley @xremblex]

Learn about TAH first-hand with @JohnnyLemucchi as he shares his artificial heart patient experience.

Live Streaming:
February 28th
6:00 PM PST / 9:00 PM EST

@ArtifOrgans @Intl_ISMCS @CardioNerds @escardio @AST_info @ASTSChimera @ISHLT @Intl_ISMCS @VADCoordinator

[HeartHack @HeartHackathon]

Sign up for the webinar and submit your queries for John via the Google Forms link: https://t.co/uTkxhm9KFc

Date: 29th February, 2024

Time: 1pm-2pm AEDT

#artificalheart #hearthackathon #webinar

[Don Webber @_DonWebber]

From an amazing person and good friend - Lance White. Lance spent 2.5 years on the TAH. Heart Transplant Recipient's New Lease On Life https://t.co/zbDl4gwPlH