Coronary Artery Disease

Cardiac Catheterization: Laboratory Procedure

Percutaneous Coronary Interventions: Use of Appropriate Medications

2023, N = 1494

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 2023, Cleveland Clinic's Main Campus achieved usage rates near or within the ACC-NCDR's 90th percentile.

NCDR = National Cardiovascular Data Registry

Source: ACC-NCDR database

ᵃ Oral P2Y12 inhibitors that are captured in the cath PCI discharge metric included both thienopyridines (clopidogrel and prasugrel) and non-thienopyridines (ticagrelor).

Percutaneous Coronary Interventions: Complications

2023, N = 1494

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.

Cleveland Clinic performs better than the NCDR 50th percentile.

CABG = coronary artery bypass graft, NCDR = National Cardiovascular Data Registry

Source: ACC-NCDR database

Percutaneous Coronary Interventions: In-Hospital Risk-Standardized Mortality (All Patients)

2023

Risk-adjusted mortality for all patients undergoing PCI at Cleveland Clinic is better than the 90th percentile benchmark.

NCDR = National Cardiovascular Data Registry; PCI = Percutaneous Coronary Intervention

Source: ACC-NCDR database

Percutaneous Coronary Interventions: Mortality — Patients Without STEMI

2023

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's Main Campus is better than the 90th percentile benchmark.

NCDR = National Cardiovascular Data Registry; PCI = Percutaneous Coronary Intervention

Source: ACC-NCDR database

Percutaneous Coronary Interventions: Same Day Discharge Past 4 Years

2020 – 2023

Cleveland Clinic discharged 59% of elective PCI cases on the same day as the procedure in 2023.

PCI = Percutaneous Coronary Intervention

Source: ACC-NCDR database

STEMI Door-to-Balloon Time

2023, N = 47

The American College of Cardiology (ACC) guideline for treatment of the lesion causing an ST-elevated myocardial infarction is within 90 minutes of arrival to the facility.

NCDR = National Cardiovascular Data Registry; PCI = Percutaneous Coronary Intervention

Source: ACC-NCDR database

In 2023, the median door-to-balloon time at Cleveland Clinic was 58 minutes.

Cardiac Catheterization: Use of Radial Access

2020 - 2023

In 2023, Cleveland Clinic performed PCI with a radial approach in 71% of cases, which was more than the national radial artery use at 59%.

Source: ACC-NCDR database