Valvular & structural heart diseaseRandomised controlled trial

Impact of Virtual Reality on Transcatheter Aortic Valve Implantation: A Prospective Randomized Controlled Trial

Circ Cardiovasc ImagingPublished

  • randomized, prospective, controlled study
  • single-centre (University Hospital Duesseldorf)

Authors' conclusion

The data show that virtual reality visualization can optimize preparation for the procedure by improving the 3-dimensional understanding of the aortic valve and adjacent structures. The detailed visualization of the access routes can lead to a reduction in periprocedural complications.

Study context

Population
Patients who underwent transcatheter aortic valve implantation at the University Hospital Duesseldorf between April and August 2024
Participants
140 patients
Comparison
Virtual reality (VR)-supplemented preprocedural planning vs 3mensio software alone

Primary result

As reported in the abstract

Patient characteristics
  • No relevant differences in patient characteristics

Further findings

3-dimensional understanding (interventionalist questionnaire)

VR superior to 3mensio software
P < 0.001

Depth perception, visualization of atherosclerotic plaques, iliofemoral tortuosity

Better in the VR group

Usefulness in preparing for the procedure

Both methods found useful and helpful

Procedural data

No significant differences between the 2 groups

Length of hospital stay and postprocedural transthoracic echocardiography data

No significant difference

Safety

Bleeding at the access site

Lower rate in the VR group
P < 0.05

Original publication

Impact of Virtual Reality on Transcatheter Aortic Valve Implantation: A Prospective Randomized Controlled Trial. Circ Cardiovasc Imaging. Published 22 April 2026. doi:10.1161/circimaging.125.018922

Summarised from the published abstract; every number is checked against it