Heart, Vascular & Thoracic Institute (Miller Family) Outcomes

The American College of Cardiology National Cardiovascular Data Registry (ACC-NCDR) has several key performance measures to evaluate hospitals. One of these measures is the use of appropriate adjunctive medications after percutaneous coronary intervention (PCI) procedures. In 2021, Cleveland Clinic achieved usage rates near or within the ACC-NCDR's 90th percentile.

Many patients who have percutaneous coronary intervention (PCI) procedures at Cleveland Clinic have complex medical backgrounds, which increase the risk of complications. In addition, Cleveland Clinic interventionalists perform hybrid procedures, which increase the risk of bleeding as defined by The National Cardiovascular Data Registry (NCDR). These hybrid procedures are performed less often at comparable hospitals. Cleveland Clinic is continuously striving to achieve the best possible outcomes for patients while providing the most advanced treatments possible.

Risk-adjusted mortality for all patients undergoing PCI at Cleveland Clinic is better than the 50th percentile benchmark.

When emergency ST-elevation myocardial infarction (STEMI) cases are removed from the PCI population, risk-adjusted mortality for patients without a STEMI undergoing PCI at Cleveland Clinic is better than the 90th percentile benchmark.

Cleveland Clinic increased same day discharge in elective PCI cases to 45% in 2021.

The American College of Cardiology/American Heart Association (ACC/AHA) guideline for PCI inflation for patients who come to the emergency department with ST-elevation myocardial infarction (STEMI) is 90 minutes.

In 2021, a radial approach was used in 73% of percutaneous coronary intervention (PCI) procedures done at Cleveland Clinic.