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

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.

ADULT CARDIAC SURGERY

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

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 90^th 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 90^th 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

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

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.