Endovascular aneurysm repair supported by intraoperative holographic image using virtual reality technology

With the expansion of indications in endovascular aneurysm repair, the incidence of complex procedures involving embolization of the aortic side branches has increased. 1 Aoki A. Maruta K. Hosaka N. Masuda T. Omoto T. Horikawa Y. Predictive factor of the possibility for aortic side branches coil embolization during endovascular abdominal aortic aneurysm repair. Ann Vasc Dis. 2020; 13: 240-247 Crossref PubMed Google Scholar ,2 Samura M. Morikage N. Otsuka R. et al. Endovascular aneurysm repair with inferior mesenteric artery embolization for preventing type II endoleak: a prospective randomized controlled trial. Ann Surg. 2020; 271: 238-244 Crossref PubMed Scopus (54) Google Scholar Despite scattered reports on the clinical use of virtual reality for preoperative planning and education, 3 Mohammed M.A.A. Khalaf M.H. Kesselman A. Wang D.S. Kothary N. A role for virtual reality in planning endovascular procedures. J Vasc Interv Radiol. 2018; 29: 971-974 Abstract Full Text Full Text PDF PubMed Google Scholar documentation on its application in intraoperative image-guided surgery is limited. 4 Tokunaga T. Sugimoto M. Saito Y. et al. Intraoperative holographic image-guided surgery in a transanal approach for rectal cancer. Langenbeck's Arch Surg. 2022; 407: 2579-2584 Crossref Scopus (1) Google Scholar ,5 Lame C. Mougin J. Postiglione T.J. Fabre D. Haulon S. Virtual reality to ease endovascular repair of thoracoabdominal aneurysms under local anesthesia. J Endovasc Ther. 2023; 30: 312-315 Crossref Scopus (0) Google Scholar We herein report our experience using intraoperative three-dimensional (3D) holograms to support endovascular aneurysm repair. We obtained the patient's consent for publication.