Coronary Artery Disease

Cardiac Catheterization: Laboratory Procedure

Percutaneous Coronary Interventions: Use of Appropriate Medications

2020, N = 1309

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 2020, Cleveland Clinic achieved usage rates near or within the ACC-NCDR's 90th percentile.

NCDR = National Cardiovascular Data Registry

Source: ACC-NCDR database

Percutaneous Coronary Interventions: Complications

2020, N = 1366

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.

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

Source: ACC-NCDR database

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

2020

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

NCDR = National Cardiovascular Data Registry

Source: ACC-NCDR database

Percutaneous Coronary Interventions: Mortality — Patients Without STEMI

2020

Even 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.

NCDR = National Cardiovascular Data Registry

Source: ACC-NCDR database

Percutaneous Coronary Interventions: Same Day Discharge Past 3 Years

2018 – 2020

Cleveland Clinic increased same day discharge in elective PCI cases to 43% in 2020.

Source: ACC-NCDR database

STEMI Door-to-Balloon Time

2020, N = 47

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.

NCDR = National Cardiovascular Data Registry

Source: ACC-NCDR database

In 2020, the median door-to-balloon time at Cleveland Clinic was 56 minutes.

Cardiac Catheterization: Use of Radial Access

2020

In 2020, a radial approach was used in 73% of percutaneous coronary intervention (PCI) procedures done at Cleveland Clinic.

Source: ACC-NCDR database