Heart, Vascular & Thoracic Institute (Miller Family) Outcomes
Coronary Artery Disease
Cardiac Catheterization: Laboratory Procedure
Percutaneous Coronary Interventions: Use of Appropriate Medications
2022, N = 1568
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 2022, 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
Percutaneous Coronary Interventions: Complications
2022, N = 1568
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-Standardized Mortality (All Patients)
2022
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
2022
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
2018 – 2022
Cleveland Clinic increased same day discharge in elective PCI cases to 60% in 2022.
PCI = Percutaneous Coronary Intervention
Source: ACC-NCDR database
STEMI Door-to-Balloon Time
2022, N = 59
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; PCI = Percutaneous Coronary Intervention
Source: ACC-NCDR database
In 2022, the median door-to-balloon time at Cleveland Clinic was 54 minutes.
Cardiac Catheterization: Use of Radial Access
2022
In 2022, a radial approach was used in 69.2% of percutaneous coronary intervention (PCI) procedures done at Cleveland Clinic.
Source: ACC-NCDR database