Example systems, devices, and techniques are disclosed for positioning one or more stimulation elements to deliver
neurostimulation therapy transesophageally. An example
system includes one or more electrodes disposed on a transesophageal stimulation device, the one or more electrodes including at least one sense
electrode. The example systems includes one or more stimulation elements configured to deliver transesophageal stimulation to
anatomy of the patient. The
system includes sensing circuitry configured to generate a
signal of a patient via the at least one sense
electrode. The
system includes
processing circuitry communicatively coupled to the sensing circuitry. The
processing circuitry is configured to obtain the
signal from the sensing circuitry. The
processing circuitry is configured to determine, based on the
signal, a location of at least one stimulation element. The processing circuitry is configured to output an indication of the location.