In interventional cardiology, performed with catheter techniques, for example from the groin (TAVI), it is clinically valuable to identify the level of the atherosclerotic plaque, prior to initiating the procedure. Optimal imaging by modified TEE with A-View will help to guide the cardiac team to choose the safest access route, tailor-made for the TAVI patients, in order to reduce peri-operative cerebral embolic events.