Cardiothoracic & vascular anesthesia

Anatomic Profiles Related to Transesophageal Echocardiographic Probe Insertion: A Retrospective Computed Tomographic Analysis

J Cardiothorac Vasc AnesthPublished Retrospective observational study

Authors' conclusion

CT imaging has demonstrated that the esophageal inlet lies posterior to the larynx in nearly all patients.

Study context

Population
Patients undergoing intraoperative transesophageal echocardiography (TEE) with preoperative computed tomography (CT) including the cervical region, single centre in Japan, 2023–2025
Participants
180 consecutive patients
Methodological detailsCT-based, single-centre, consecutive patients
  • CT-based
  • Single-centre
  • Consecutive patients

Main finding

As reported in the abstract

Inlet orientation angle, mean (range −17.8° to +33.3°)
+2.9°
Posterior inlet
179 of 180 (99.4%)
Posterolateral inlet
1
Lateral inlet
0
Retrocricoid space, mean (range 1.4 to 13.4 mm)
6.3 mm
Retrocricoid space narrower than TEE probe shaft diameter (<10 mm)
in most patients

Observational data: associations, not effects.

Further findings

Additional CT findings

Calcification of posterior cricoid lamina
7.8%
Unilateral vertebral protrusion
3.3%
Spinous bony projections
2.8%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Anatomic Profiles Related to Transesophageal Echocardiographic Probe Insertion: A Retrospective Computed Tomographic Analysis. J Cardiothorac Vasc Anesth. Published 23 December 2025. doi:10.1053/j.jvca.2025.12.019

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