**9.4 To TEE or not to TEE**

Commonly the TAVR procedure is performed with a transesophageal echocardiography (TEE) probe in place. However there has been recent studies that suggest a different approach with similar results. This "Minimalist TAVR approach" is completed with no continuous TEE and the valve is placed with just angiography. A post-TAVR transthoracic echo (TTE) is done to allow for signs of early complications and view any para-valvular leaks. This is then followed by long term echocardiography completed within 1 month and 1 year to view the function of the prosthetic valve and see if there were any other changes due to the procedure such as pulmonary hypertension, mitral regurgitation, or tricuspid regurgitation [50].
