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The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

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Remote proctoring during structural heart procedures: Toward a widespread diffusion of knowledge using mixed reality.

Guido Ascione¹, Giovanni Rossini², Davide Schiavi^1,3

¹Department of Cardiac Surgery, Heart Valve Center, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions

|August 17, 2024

Summary

Remote proctoring (RP) using head-mounted displays (HMDs) is feasible and effective for structural heart interventions. A stable internet connection is crucial for widespread adoption of this technology in remote cardiac procedures.

Keywords:

TEER mixed reality remote proctoring structural heart procedures telementoring

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Area of Science:

Cardiology
Medical Technology
Surgical Innovation

Background:

Remote proctoring (RP) applications in structural heart interventions are minimally documented.
This study explores the use of RP in transcatheter edge-to-edge repair (TEER).

Purpose of the Study:

To assess the feasibility, safety, and efficacy of RP during TEER using a mixed reality head-mounted display (HMD).
To evaluate the noninferiority of HMD-mediated interaction compared to direct in-person interaction.

Main Methods:

Two users (operator and proctor) utilized HMDs connected via a 5G network.
Proctor was remotely located, sharing audio/video signals without direct physical presence.
An operator-proctor interaction test assessed interaction quality across key procedural steps.

Main Results:

The primary endpoint was met in 60% of cases (9/15 clips).
Initial failures were attributed to software and 5G network issues.
HMDs and mixed reality tools were well-tolerated, with no procedural interference.

Conclusions:

RP is feasible and effective for structural heart interventions.
HMD use is comfortable and does not compromise procedural safety or effectiveness.
A stable internet connection is essential for the broad implementation of remote proctoring.