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Vitals: Outcomes in Adult Cardiac Surgery and Ischemic and Vascular Disease

A graphical recap of our recent data from some key cardiovascular areas

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

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ADULT CARDIAC SURGERY

blue-shaded boxes with text about heart surgery quality ratings
tabular chart with heart surgery mortality rates
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

CABG volume in 2023:
1,938

  • 989 isolated CABG │ 949 CABG + other
  • 169 (8.7%) were reoperations
tabular chart showing mortality rates for CABG surgery

Percutaneous Coronary Intervention (PCI) in 2023

1,494

Percutaneous coronary interventions

59%

Same-day discharge rate for elective PCI cases

-----------------------------------------------------------------------------------

1.31%

PCI risk-standardized mortality (all patients), vs. 1.96% for similar hospitals

(NCDR 90th percentile of 1.62% or less for all participating hospitals)

1.4%

PCI risk-standardized mortality for STEMI patients (without cardiogenic shock or cardiac arrest), vs. 2.3% for similar hospitals

(NCDR 90th percentile of 1.8% or less for all participating hospitals)

58 min

Median time to PCI for STEMI patients, vs. 63 min for similar hospitals

95.7%

Proportion of STEMI patients receiving PCI within 90 minutes, vs. 94.0% for similar hospitals

Source: National Cardiovascular Data Registry, CathPCI Registry®, American College of Cardiology Foundation, for rolling four-quarter period through Q4 2023
NCDR = National Cardiovascular Data Registry; STEMI = ST-elevation myocardial infarction

VASCULAR DISEASE

6,745

Vascular surgery procedures performed in Northeast Ohio in 2023

tabular chart showing mortality rates for vascular surgery procedures

Mortality Rates for Abdominal Aortic Aneurysm (AAA) Repair in 2023

0%

Elective open AAA repair (N = 98)

8%

Ruptured open AAA repair (N = 37)

1.3%

Elective endovascular AAA repair (N = 76)

0%

Ruptured endovascular AAA repair (N = 12)

62,384 Noninvasive Vascular Lab Studies in 2023

bar graphs showing procedural volumes over a 5-year period

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

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