The Vascular Interventional Training System (or VIST) full physics virtual reality simulation of the cardiovascular anatomy (A); the VIST simulator set-up in the skills laboratory (B) (courtesy of Mentice AB, Gothenburg, Sweden) and the fluoroscopic image o... The Vascular Interventional Training System (or VIST) full physics virtual reality simulation of the cardiovascular anatomy (A); the VIST simulator set-up in the skills laboratory (B) (courtesy of Mentice AB, Gothenburg, Sweden) and the fluoroscopic image of the aortic arch (with catheter handling error in situ) (C) and the VR simulated aortic arch (with catheter handling error in situ) (D). Christopher U Cates et al. BMJ STEL 2016;2:1-5 ©2016 by The Association for Simulated Practice in Healthcare