Outcome Highlights in Adult Cardiac Surgery, Ischemic Heart Disease and Vascular Surgery

Below we share recent volumes and clinical outcomes from a sampling of disciplines and subspecialty areas in Cleveland Clinic’s Heart, Vascular and Thoracic Institute: adult cardiac surgery, ischemic heart disease and vascular disease.

ADULT CARDIAC SURGERY

Operative Mortality, First Half of 2025

STS = Society of Thoracic Surgeons; ACC = American College of Cardiology; TVT = Transcatheter Valve Therapy
CABG = coronary artery bypass grafting; AVR = aortic valve replacement; MVRR = mitral valve repair/replacement; TAVR = transcatheter aortic valve replacement; MVR = mitral valve replacement

ISCHEMIC HEART DISEASE

SURGICAL TREATMENT

2,015

CABG volume in 2024:

• 994 isolated CABG
• 1,021 CABG + other
• 143 (7.1%) were reoperations

PERCUTANEOUS CORONARY INTERVENTION (PCI) IN 2024

1,519

Percutaneous coronary interventions

61.5%

Same-day discharge rate for elective PCI cases

1.46%

PCI risk-standardized mortality (all patients), better than the 1.93% NCDR 50th percentile rate

1.04%

PCI risk-standardized mortality for STEMI patients (without cardiogenic shock or cardiac arrest), better than the 1.89% NCDR 50th percentile rate

56 minutes

Median time to PCI for STEMI patients, better than the NCDR 50th percentile of 63 minutes

97.96%

Proportion of STEMI patients receiving PCI within 90 minutes, better than the 93.96% NCDR 50th percentile rate

(Source: National Cardiovascular Data Registry, CathPCI Registry®, American College of Cardiology Foundation, for rolling four-quarter period through Q4 2024)
NCDR = National Cardiovascular Data Registry; STEMI = ST-elevation myocardial infarction

VASCULAR DISEASE

2024 MORTALITY RATES FOR ABDOMINAL AORTIC ANEURYSM (AAA) REPAIR

0%

Elective open AAA repair (N = 102)

11.1%

Ruptured open AAA repair (N = 18)

0.8%

Elective endovascular AAA repair (N = 130)

0%

Ruptured endovascular AAA repair (N = 15)

Cleveland Clinic’s Heart, Vascular and Thoracic Institute has a long tradition of reporting volume and outcomes data across its subspecialty areas. For more information like the data reported above, visit clevelandclinic.org/hvtioutcomes and clevelandclinic.org/e15.