Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Modern therapy of pulmonary embolism with PERT and EKOS: an advantage also for in-hospital time?]

Medizinische Klinik, Intensivmedizin und Notfallmedizin·2026
Same author

Early versus delayed EKOS thrombolysis in intermediate-high risk pulmonary embolism: a retrospective multicentre analysis.

Open heart·2026
Same author

Clinical and Echocardiographic Outcomes After Implantation of the ALLEGRA Transcatheter Valve Using the Fully Repositionable IMPERIA Delivery System: One-Year Results of the EMPIRE I Study.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions·2026
Same author

Pulmonary vein and left atrial posterior wall isolation using a balloon-in-basket pulsed-field ablation catheter via the superior vena cava approach in a patient with interrupted inferior vena cava: a case report.

European heart journal. Case reports·2026
Same author

Targeting hypertension with SGLT2 inhibition: the EU-funded SGLT2 HYPE trial.

European heart journal·2026
Same author

Heart failure prevalence and incidence in Germany: National data on medical therapy and comorbidities.

International journal of cardiology·2026

Related Experiment Video

Updated: May 23, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

Audiovisual Distraction During Mitral Transcatheter Edge-to-Edge Repair: A Sedation-Sparing Randomized Trial.

Elias Rawish1, Mira John2, Felicitas Lemmer3

  • 1University of Luebeck, Medical Clinic II, University Hospital Schleswig-Holstein, Lübeck, Germany; DZHK (German Centre for Cardiovascular Research), Partner Site North, Lübeck, Germany; University Heart Center Lübeck, Lübeck, Germany.

JACC. Advances
|May 21, 2026
PubMed
Summary

Audiovisual distraction (AVD) using video glasses reduced propofol needs and improved patient comfort during mitral transcatheter edge-to-edge repair (M-TEER) under conscious sedation. This safe adjunct enhanced satisfaction without impacting procedural efficiency.

Keywords:
M-TEERmitral transcatheter edge-to-edge repairpatient satisfactionpropofolstructural heart interventiontransesophageal echocardiography

More Related Videos

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

Non-Intubated Video-Assisted Thoracoscopic Surgery
05:39

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Related Experiment Videos

Last Updated: May 23, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
08:31

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair

Published on: October 16, 2021

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

Non-Intubated Video-Assisted Thoracoscopic Surgery
05:39

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Area of Science:

  • Cardiology
  • Anesthesiology
  • Medical Devices

Background:

  • Conscious sedation for mitral transcatheter edge-to-edge repair (M-TEER) presents challenges in balancing patient comfort with risks in frail older adults.
  • Sedative-related hemodynamic and neurocognitive risks require careful management during M-TEER procedures.

Purpose of the Study:

  • To evaluate if audiovisual distraction (AVD) with video glasses can decrease propofol requirements during M-TEER.
  • To assess the impact of AVD on patient experience, including anxiety, pain, and satisfaction, during M-TEER under conscious sedation.

Main Methods:

  • A prospective randomized controlled trial involving 60 patients undergoing M-TEER.
  • Patients were assigned to either AVD (video glasses with nature documentaries) or a sham control group.
  • Propofol sedation was managed using a blinded protocol targeting a Richmond Agitation-Sedation Scale of -2 to -3.

Main Results:

  • The mean propofol dose was significantly lower in the AVD group compared to the control group (4.6 vs. 5.9 mg/kg/h; P = 0.002).
  • AVD significantly reduced postprocedural anxiety (1.1 vs. 2.5; P = 0.001) and improved patient satisfaction (24.7 vs. 22.5; P = 0.005).
  • Norepinephrine use was numerically lower in the AVD group, and procedural duration, hemodynamic fluctuations, and hospital length of stay were similar between groups.

Conclusions:

  • Audiovisual distraction is a safe and effective adjunct to conscious sedation for M-TEER.
  • AVD reduces the need for propofol and enhances patient comfort and satisfaction.
  • The use of AVD does not compromise procedural efficiency or in-hospital safety outcomes.