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Artificial intelligence and extended reality in TAVR: current applications and challenges
Ioannis Skalidis1, Neila Sayah2, Hakim Benamer2
1Institut Cardiovasculaire Paris-Sud, Hôpital Jacques Cartier, Ramsay-Santé, Massy, France; School of Medicine, University of Crete, Heraklion, Greece.
Trends in Cardiovascular Medicine
|August 8, 2025
Summary
Artificial intelligence (AI) and extended reality (XR) are improving transcatheter aortic valve replacement (TAVR) for severe aortic stenosis. These technologies enhance diagnosis, planning, and procedural guidance, leading to better patient outcomes.
Area of Science:
- Cardiovascular Medicine
- Medical Technology
- Artificial Intelligence
Background:
- Severe aortic stenosis management involves complex diagnostic and planning procedures.
- Transcatheter aortic valve replacement (TAVR) is a key treatment option requiring precise patient assessment.
- Current methods may have limitations in accuracy and visualization.
Purpose of the Study:
- To evaluate the integration of AI and XR in TAVR.
- To assess the impact of these technologies on diagnostic accuracy, risk stratification, and pre-procedural planning.
- To explore the potential of AI and XR in improving TAVR outcomes.
Main Methods:
- Utilized advanced AI algorithms for electrocardiographic, echocardiographic, and CT-based assessments.
- Employed immersive XR technologies (augmented, virtual, mixed reality) for spatial visualization and procedural guidance.
- Analyzed data to determine improvements in precision and patient-specific risk prediction.
Main Results:
- AI algorithms reduced observer variability and enhanced patient-specific risk prediction.
- XR technologies improved spatial visualization of cardiac anatomy and supported real-time guidance.
- Integration of AI and XR demonstrated significant potential in revolutionizing TAVR management.
Conclusions:
- AI and XR integration offers a transformative approach to managing severe aortic stenosis via TAVR.
- Enhanced diagnostic accuracy and procedural planning are key benefits.
- Standardized protocols, regulatory frameworks, and ethical considerations are crucial for clinical adoption.

