Abstract
BackgroundInvasive catheter-based approaches for challenging and complex cardiac arrhythmias requires expertise which is not readily available across various medical centers around the world. Due to overall limitation of expert proceduralists there can be suboptimal procedural outcome, avoidable procedural complications, re-do procedures, and a rise in cost across patient, payer, and healthcare utilization resources. Virtual Reality (VR) can minimize the above-mentioned concerns and facilitate anytime, anywhere procedure consultation.ObjectiveWe hypothesize that a Remote Procedural Consultant (RPC) can enhance patient safety, procedural success, and proceduralist satisfaction. In partnership with AirV Labs, we developed a VR4EPConsult framework that includes bi-directional communication and interactions to facilitate real-time procedural assistance between clinical sites.MethodsDeveloped using Unity3D™, and a proprietary collaboration platform AirVu™, VR4EPConsult (Figures 1 & 2) consists of the following modules to facilitate RPC between host and consultant sites: (i) synchronization to co-ordinate multi-modal interactions (audio, images, annotations, 3D models, live feeds of ultrasound, fluoroscopy, mapping system), (ii) visualization (scene composition including 360 live video, camera placement, rendering of modalities), and (iii) exploration (teleport, positioning and manipulation of multiple modalities) to strategize Electrophysiology (EP) procedure.ResultsVR4EPConsult proof-of-concept offers a real-time, interactive, procedural consultation anytime, anywhere by connecting a host with expert proceduralists. We report a case of complex ablation procedure which was analyzed and ablated using VR4EPConsult.ConclusionFigure 2: Snapshot of VR4EPConsult using Multiple modalities for Remote Procedural ConsultantView Large Image Figure ViewerDownload Hi-res image Download (PPT) BackgroundInvasive catheter-based approaches for challenging and complex cardiac arrhythmias requires expertise which is not readily available across various medical centers around the world. Due to overall limitation of expert proceduralists there can be suboptimal procedural outcome, avoidable procedural complications, re-do procedures, and a rise in cost across patient, payer, and healthcare utilization resources. Virtual Reality (VR) can minimize the above-mentioned concerns and facilitate anytime, anywhere procedure consultation. Invasive catheter-based approaches for challenging and complex cardiac arrhythmias requires expertise which is not readily available across various medical centers around the world. Due to overall limitation of expert proceduralists there can be suboptimal procedural outcome, avoidable procedural complications, re-do procedures, and a rise in cost across patient, payer, and healthcare utilization resources. Virtual Reality (VR) can minimize the above-mentioned concerns and facilitate anytime, anywhere procedure consultation. ObjectiveWe hypothesize that a Remote Procedural Consultant (RPC) can enhance patient safety, procedural success, and proceduralist satisfaction. In partnership with AirV Labs, we developed a VR4EPConsult framework that includes bi-directional communication and interactions to facilitate real-time procedural assistance between clinical sites. We hypothesize that a Remote Procedural Consultant (RPC) can enhance patient safety, procedural success, and proceduralist satisfaction. In partnership with AirV Labs, we developed a VR4EPConsult framework that includes bi-directional communication and interactions to facilitate real-time procedural assistance between clinical sites. MethodsDeveloped using Unity3D™, and a proprietary collaboration platform AirVu™, VR4EPConsult (Figures 1 & 2) consists of the following modules to facilitate RPC between host and consultant sites: (i) synchronization to co-ordinate multi-modal interactions (audio, images, annotations, 3D models, live feeds of ultrasound, fluoroscopy, mapping system), (ii) visualization (scene composition including 360 live video, camera placement, rendering of modalities), and (iii) exploration (teleport, positioning and manipulation of multiple modalities) to strategize Electrophysiology (EP) procedure. Developed using Unity3D™, and a proprietary collaboration platform AirVu™, VR4EPConsult (Figures 1 & 2) consists of the following modules to facilitate RPC between host and consultant sites: (i) synchronization to co-ordinate multi-modal interactions (audio, images, annotations, 3D models, live feeds of ultrasound, fluoroscopy, mapping system), (ii) visualization (scene composition including 360 live video, camera placement, rendering of modalities), and (iii) exploration (teleport, positioning and manipulation of multiple modalities) to strategize Electrophysiology (EP) procedure. ResultsVR4EPConsult proof-of-concept offers a real-time, interactive, procedural consultation anytime, anywhere by connecting a host with expert proceduralists. We report a case of complex ablation procedure which was analyzed and ablated using VR4EPConsult. VR4EPConsult proof-of-concept offers a real-time, interactive, procedural consultation anytime, anywhere by connecting a host with expert proceduralists. We report a case of complex ablation procedure which was analyzed and ablated using VR4EPConsult. Conclusion
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