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VRAP-Heart - Virtual Reality Assisted Patient Empowerment for Interventions in Structural Heart Disease

Recruiting
18 years of age
Both
Phase N/A

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Overview

This prospective, randomized-controlled multicenter study investigates whether virtual reality-assisted patient education in patients undergoing transfemoral transcatheter aortic valve implantation (TAVI) can improve patient understanding and simulative orientation, thereby reducing postinterventional complications, resulting in significantly shorter length of stay.

Description

This prospective, randomized-controlled multicenter study investigates whether VR-assisted patient education in patients undergoing transfemoral transcatheter aortic valve implantation (TAVI) can improve patient understanding and simulative orientation, thereby reducing postinterventional complications, resulting in significantly shorter length of stay. Disorientation, anxiety, and pain can lead to the development of delirium and, through complications, to prolonged hospital stays during elective procedures. Virtual reality can combine different learning modalities (auditory, visual, written, haptic) and improve patient understanding of the procedure through educational interventions. More detailed knowledge of the environment, the players, the procedure, and safety aspects will reduce anxiety and stress before and during the procedure and reduce complications during post-interventional care. As a result, length of stay should be reduced.

Eligibility

Inclusion Criteria:

  • High-grade aortic valve stenosis
  • Indication for elective transfemoral transcatheter aortic valve implantation under analgesia (TAVI)
  • Existing heart center decision
  • Age ≥ 18 years
  • Signed informed consent form

Exclusion Criteria:

  • Surgery planned under general anesthesia
  • Language barrier
  • Severe hearing or vision impairment
  • Advanced dementia syndrome
  • Known seizure disorder (epilepsy)
  • Positive pregnancy test on inclusion and/or pregnancy is present
  • Court ordered placement in an institution
  • Any psychosocial condition that makes compliance with the protocol unlikely

Study details

Severe Aortic Valve Stenosis

NCT05552352

Heinrich-Heine University, Duesseldorf

25 January 2024

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