Preliminary Evaluation of NT-proBNP and cTnI as Predictors of Procedure Safety in Dogs Undergoing Transcatheter Edge-to-Edge Mitral Valve Repair

Myxomatous mitral valve disease (MMVD) in dogs can be treated with transcatheter edge-to-edge mitral valve repair (TEER), an emerging minimally invasive surgical technique. However, reports on prognostic markers for preoperative evaluation remain limited. This study evaluated the association of preo...

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Main Authors: Jeong-Min Lee, Seung-Keun Lee, Kyoung-A Youp, Ah-Ra Lee, Young-Wook Cho, Youn-Seo Jung, Sun-Tae Lee
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Veterinary Sciences
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Online Access:https://www.mdpi.com/2306-7381/12/3/223
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author Jeong-Min Lee
Seung-Keun Lee
Kyoung-A Youp
Ah-Ra Lee
Young-Wook Cho
Youn-Seo Jung
Sun-Tae Lee
author_facet Jeong-Min Lee
Seung-Keun Lee
Kyoung-A Youp
Ah-Ra Lee
Young-Wook Cho
Youn-Seo Jung
Sun-Tae Lee
author_sort Jeong-Min Lee
collection DOAJ
description Myxomatous mitral valve disease (MMVD) in dogs can be treated with transcatheter edge-to-edge mitral valve repair (TEER), an emerging minimally invasive surgical technique. However, reports on prognostic markers for preoperative evaluation remain limited. This study evaluated the association of preoperative N-terminal pro-brain natriuretic peptide (NT-proBNP) and cardiac troponin I (cTnI) levels with procedure safety in dogs undergoing TEER. A retrospective analysis was conducted on 25 dogs diagnosed with stage C (n = 18) or D (n = 7) MMVD that underwent TEER between September 2023 and January 2025. Preoperative NT-proBNP and cTnI values were measured and compared between survivors and non-survivors. Among the survivors, 15 and 4 dogs were stages C and D, respectively. Among the non-survivors, three and three dogs were stages C and D, respectively. Non-survivors had higher median NT-proBNP levels (3557 pmol/L; range: 774–10,000) and cTnI levels (0.39 ng/mL; range: 0.22–0.51) than survivors (NT-proBNP: 1262.6 pmol/L, range: 500–8773; cTnI: 0.1 ng/mL, range: 0.01–3.6). However, the two groups showed no significant differences in NT-proBNP (<i>p</i> = 0.187) or cTnI (<i>p</i> = 0.869). Increased preoperative NT-proBNP and cTnI levels were not strong predictors of procedure safety in dogs with MMVD stages C and D undergoing TEER. Further studies with larger sample sizes and longer follow-up periods are needed to better evaluate the prognostic value of these biomarkers in this population.
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spelling doaj-art-64fac73b9e7f4fb7bd2bfc5e038685352025-08-20T03:44:01ZengMDPI AGVeterinary Sciences2306-73812025-03-0112322310.3390/vetsci12030223Preliminary Evaluation of NT-proBNP and cTnI as Predictors of Procedure Safety in Dogs Undergoing Transcatheter Edge-to-Edge Mitral Valve RepairJeong-Min Lee0Seung-Keun Lee1Kyoung-A Youp2Ah-Ra Lee3Young-Wook Cho4Youn-Seo Jung5Sun-Tae Lee6Korea Animal Medical Center, Cheongju 28651, Republic of KoreaKorea Animal Medical Center, Cheongju 28651, Republic of KoreaKorea Animal Medical Center, Cheongju 28651, Republic of KoreaKorea Animal Medical Center, Cheongju 28651, Republic of KoreaKorea Animal Medical Center, Cheongju 28651, Republic of KoreaKorea Animal Medical Center, Cheongju 28651, Republic of KoreaKorea Animal Medical Center, Cheongju 28651, Republic of KoreaMyxomatous mitral valve disease (MMVD) in dogs can be treated with transcatheter edge-to-edge mitral valve repair (TEER), an emerging minimally invasive surgical technique. However, reports on prognostic markers for preoperative evaluation remain limited. This study evaluated the association of preoperative N-terminal pro-brain natriuretic peptide (NT-proBNP) and cardiac troponin I (cTnI) levels with procedure safety in dogs undergoing TEER. A retrospective analysis was conducted on 25 dogs diagnosed with stage C (n = 18) or D (n = 7) MMVD that underwent TEER between September 2023 and January 2025. Preoperative NT-proBNP and cTnI values were measured and compared between survivors and non-survivors. Among the survivors, 15 and 4 dogs were stages C and D, respectively. Among the non-survivors, three and three dogs were stages C and D, respectively. Non-survivors had higher median NT-proBNP levels (3557 pmol/L; range: 774–10,000) and cTnI levels (0.39 ng/mL; range: 0.22–0.51) than survivors (NT-proBNP: 1262.6 pmol/L, range: 500–8773; cTnI: 0.1 ng/mL, range: 0.01–3.6). However, the two groups showed no significant differences in NT-proBNP (<i>p</i> = 0.187) or cTnI (<i>p</i> = 0.869). Increased preoperative NT-proBNP and cTnI levels were not strong predictors of procedure safety in dogs with MMVD stages C and D undergoing TEER. Further studies with larger sample sizes and longer follow-up periods are needed to better evaluate the prognostic value of these biomarkers in this population.https://www.mdpi.com/2306-7381/12/3/223caninemyxomatous mitral valve diseasemitral valve repairtranscatheter edge-to-edge repair
spellingShingle Jeong-Min Lee
Seung-Keun Lee
Kyoung-A Youp
Ah-Ra Lee
Young-Wook Cho
Youn-Seo Jung
Sun-Tae Lee
Preliminary Evaluation of NT-proBNP and cTnI as Predictors of Procedure Safety in Dogs Undergoing Transcatheter Edge-to-Edge Mitral Valve Repair
Veterinary Sciences
canine
myxomatous mitral valve disease
mitral valve repair
transcatheter edge-to-edge repair
title Preliminary Evaluation of NT-proBNP and cTnI as Predictors of Procedure Safety in Dogs Undergoing Transcatheter Edge-to-Edge Mitral Valve Repair
title_full Preliminary Evaluation of NT-proBNP and cTnI as Predictors of Procedure Safety in Dogs Undergoing Transcatheter Edge-to-Edge Mitral Valve Repair
title_fullStr Preliminary Evaluation of NT-proBNP and cTnI as Predictors of Procedure Safety in Dogs Undergoing Transcatheter Edge-to-Edge Mitral Valve Repair
title_full_unstemmed Preliminary Evaluation of NT-proBNP and cTnI as Predictors of Procedure Safety in Dogs Undergoing Transcatheter Edge-to-Edge Mitral Valve Repair
title_short Preliminary Evaluation of NT-proBNP and cTnI as Predictors of Procedure Safety in Dogs Undergoing Transcatheter Edge-to-Edge Mitral Valve Repair
title_sort preliminary evaluation of nt probnp and ctni as predictors of procedure safety in dogs undergoing transcatheter edge to edge mitral valve repair
topic canine
myxomatous mitral valve disease
mitral valve repair
transcatheter edge-to-edge repair
url https://www.mdpi.com/2306-7381/12/3/223
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