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

ADULT CARDIAC SURGERY

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

In-Hospital Mortality, First Half of 2023

(1/1/2023-6/30/2023)

CABG = coronary artery bypass grafting; AVR = aortic valve replacement; MVR = mitral valve replacement; MV = mitral valve; STS = Society of Thoracic Surgeons

ISCHEMIC HEART DISEASE

Surgical Treatment

1,821 CABG volume in 2022:
–1,002 Isolated CABG
–819 CABG + other
–164 (9%) were reoperations

Percutaneous Coronary Intervention (PCI)

1,527 PCIs performed in 2022

56% Same-day discharge rate for elective PCI cases in 2022

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1.17% PCI risk-standardized mortality (all patients), vs. 2.06% for similar hospitals (NCDR 90th percentile of 1.71% or less for all participating hospitals)

1.16% PCI risk-standardized mortality for STEMI patients (without cardiogenic shock or cardiac arrest), vs. 2.37% for similar hospitals (NCDR 90th percentile of 1.85% or less for all participating hospitals)

54 minutes Median time to PCI for STEMI patients in 2022, vs. 60 minutes for similar hospitals

95% Proportion of STEMI patients receiving PCI within 90 minutes in 2022, vs. 95.1% for similar hospitals

(Source for above: National Cardiovascular Data Registry, CathPCI Registry, American College of Cardiology Foundation, for rolling four-quarter period through Q4 2022)
NCDR = National Cardiovascular Data Registry; STEMI = ST-elevation myocardial infarction

VASCULAR DISEASE

6,596 Vascular surgery procedures performed in Northeast Ohio in 2022

2022 Mortality Rates for Abdominal Aortic Aneurysm (AAA) Repair

0% Elective open AAA repair (N = 112)

12.5% Ruptured open AAA repair (N = 24)

0% Elective endovascular AAA repair (N = 79)

7% Ruptured endovascular AAA repair (N = 14)

Noninvasive Vascular Lab Studies

58,389 studies performed in Northeast Ohio in 2022

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