{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T13:46:06Z","timestamp":1789911966479,"version":"4.0.1"},"reference-count":46,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:sec>\n            <jats:title>Background\u2014<\/jats:title>\n            <jats:p>Myocardial injury is a common complication during cardiac surgery and percutaneous coronary intervention and is associated with postprocedural cardiovascular morbidity and mortality. Limited data have been reported about the occurrence of myocardial damage associated with transcatheter aortic valve implantation (TAVI). Therefore, our purpose was to investigate the incidence, predictors, and prognostic value of myocardial injury during TAVI.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results\u2014<\/jats:title>\n            <jats:p>\n              We studied 119 patients (aged 81\u00b18 years; 47 male) who had undergone a TAVI with the Medtronic-CoreValve bioprosthesis. Serum creatine kinase-MB (CK-MB) and cardiac troponin T (cTnT) levels were measured before and after the procedure.\n              <jats:italic>Myocardial injury<\/jats:italic>\n              was defined as a postprocedural increase of CK-MB and\/or cTnT level &gt;5 times the upper reference limit. After TAVI, the incidence of myocardial injury was 17%, which was independently predicted by procedural duration (in minutes) (odds ratio [OR], 1.04; 95% CI, 1.01\u20131.06), preprocedural \u03b2-blocker use (OR, 0.12; 95% CI, 0.03\u20130.45), peripheral arterial disease (OR, 6.36; 95% CI, 1.56\u201325.87), and prosthesis depth (in millimeters) (OR, 1.31; 95% CI, 1.08\u20131.59). The 30-day mortality after TAVI was 13% and was independently predicted by myocardial injury (OR, 8.54; 95% CI, 2.17\u201333.52), preprocedural hospitalization (OR, 9.36; 95% CI, 2.55\u201334.38), and left ventricular mass index (in g\/m\n              <jats:sup>2<\/jats:sup>\n              ) (OR, 1.02; 95% CI, 1.00\u20131.03).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>After transcatheter aortic valve implantation, serum levels of both CK-MB and cTnT increase, reflecting the occurrence of periprocedural myocardial injury. A longer procedural duration, the absence of \u03b2-blocker use, peripheral arterial disease, and a deeper prosthesis insertion are associated with myocardial injury. Together with preprocedural hospitalization and left ventricular mass, myocardial injury is an independent predictor for 30-day mortality after TAVI.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circinterventions.111.964882","type":"journal-article","created":{"date-parts":[[2012,6,6]],"date-time":"2012-06-06T02:43:35Z","timestamp":1338950615000},"page":"415-423","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":68,"title":["Predictors and Prognostic Value of Myocardial Injury During Transcatheter Aortic Valve Implantation"],"prefix":"10.1161","volume":"5","author":[{"given":"Ze Yie","family":"Yong","sequence":"first","affiliation":[{"name":"From the Department of Cardiology and Cardio-thoracic surgery, Academic Medical Center\u2013University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther M. A.","family":"Wiegerinck","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology and Cardio-thoracic surgery, Academic Medical Center\u2013University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Boerlage-van Dijk","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology and Cardio-thoracic surgery, Academic Medical Center\u2013University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karel T.","family":"Koch","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology and Cardio-thoracic surgery, Academic Medical Center\u2013University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marije M.","family":"Vis","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology and Cardio-thoracic surgery, Academic Medical Center\u2013University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berto J.","family":"Bouma","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology and Cardio-thoracic surgery, Academic Medical Center\u2013University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 P. S.","family":"Henriques","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology and Cardio-thoracic surgery, Academic Medical Center\u2013University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Cocchieri","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology and Cardio-thoracic surgery, Academic Medical Center\u2013University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan J.","family":"Piek","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology and Cardio-thoracic surgery, Academic Medical Center\u2013University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bas A. J. M.","family":"de Mol","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology and Cardio-thoracic surgery, Academic Medical Center\u2013University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Jan","family":"Baan","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology and Cardio-thoracic surgery, Academic Medical Center\u2013University of Amsterdam, Amsterdam, the Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","first-page":"18","article-title":"Percutaneous implantation of the CoreValve aortic valve prosthesis in patients at high risk or rejected for surgical valve replacement: clinical evaluation and feasibility of the procedure in the first 30 patients in the AMC-UvA","volume":"18","author":"Baan J","year":"2010","unstructured":"Baan J, Yong ZY, Koch KT, Henriques JP, Bouma BJ, de Hert SG, van der MJ, Tijssen JG, Piek JJ, de Mol BA . 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