Valvular & structural heart disease
Audiovisual Distraction During Mitral Transcatheter Edge-to-Edge Repair: A Sedation-Sparing Randomized Trial
Authors' conclusion
AVD with video glasses is a safe, pragmatic adjunct to conscious sedation in M-TEER that reduces propofol requirements and improves patient-reported comfort and satisfaction without compromising procedural efficiency or in-hospital safety. (Does audiovisual distraction reduce the need for analgesic sedation and increase patient satisfaction in patients undergoing mitral valve clipping? A randomized controlled trial; DRKS00037370).
Study context
- Population
- Patients undergoing mitral transcatheter edge-to-edge repair (M-TEER) under conscious sedationpatients randomized 1:1
- Participants
- 60 patients
- Comparison
- Audiovisual distraction (AVD) vs sham control
- Primary endpoint
- Mean propofol dose (mg/kg/h)
Methodological details1:1 allocation, sham control, uniform blinded sedation protocol
- 1:1 allocation
- Sham control
- Uniform blinded sedation protocol
Primary result
As reported in the abstract
P = 0.002
Secondary outcomes
Norepinephrine use · numerically lower
P = 0.08
| Outcome | AVD | Sham control | P value |
|---|---|---|---|
| Postprocedural anxiety · reduced with AVD | mean 1.1 ± 1.0 | mean 2.5 ± 1.7 | P = 0.001 |
| Satisfaction · improved with AVD | mean 24.7 ± 3.0 | mean 22.5 ± 2.8 | P = 0.005 |
Procedural duration, hemodynamic fluctuations, and hospital length of stay
- Similar
Original publication
Audiovisual Distraction During Mitral Transcatheter Edge-to-Edge Repair: A Sedation-Sparing Randomized Trial. JACC Adv. Published 21 May 2026. doi:10.
Summarised from the published abstract; every number is checked against it