Ischemic Heart Disease

Cardiac Catheterization Laboratory Procedure

Use of Appropriate Process Measures, Medications

2018, N = 1716

The American College of Cardiology National Cardiovascular Data Registy (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.

ACC-NCDR database

PCI Procedure Complications

2018, N = 1716

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

ACC-NCDR database


Door-to-Balloon Time

2018, N = 64

The American College of Cardiology/American Heart Association (ACC/AHA) guideline for percutaneous coronary intervention (PCI) inflation for patients who come to the emergency department with ST-elevation myocardial infarction (STEMI) is 90 minutes. Cleveland Clinic continues to improve door-to-balloon time to reduce the risk of mortality and morbidity. In 2018, the median time at Cleveland Clinic was 53 minutes.

NCDR = National Cardiovascular Data Registry

Source: ACC-NCDR database

Cardiac Catheterization, Use of Radial Access


In 2018, Cleveland Clinic continued to increase its use of radial access for cardiac catheterization. A total of 75% of procedures used this approach.

ACC-NCDR CathPCI registry