Inclusion Criteria:  Age ≥ 18 years Symptomatic severe aortic stenosis Indication for transfemoral TAVI under local anaesthesia per local heart team consensus Patient is able to understand and sign written informed consent Patient speaks Dutch, German or English  Exclusion Criteria:  Need for emergent TAVI Need for planned concomitant cardiac intervention during index procedure History of TAVI under local anesthesia/conscious sedation Chronic use of benzodiapines, opioids, pregabalin or antidepressants History of opioid use (within 8-30 days prior to randomization) Claustrophobia Any psychiatric illness diagnosed by a psychiatrist or psychologist Blindness or severe visual impairment despite visual aid (glasses, contact lenses) Epilepsy Extensive cognitive impairment (MMSE <21 or as diagnosed by geriatrician)