HEART, VASCULAR & THORACIC
Volumes and outcomes from a sampling of centers in Cleveland Clinic’s Miller Family Heart, Vascular & Thoracic Institute
Adult Cardiac Surgery Ischemic Heart Disease Vascular Disease
Adult Cardiac Surgery
Cleveland Clinic’s Overall Composite Quality Ratings in STS Adult Cardiac Surgery Database
CABG
AVR
AVR + CABG
MVRR
MVRR + CABG
For period 1/1/18-12/31/20 for all categories but CABG,
which is for 1/1/20-12/31/20.
In-Hospital Mortality, First Half of 2021
(1/1/21-6/30/21)
1,398
45%
0.8%
1.9%
96%
100%
For more data like this, visit clevelandclinic.org/hvtioutcomes and clevelandclinic.org/e15.
Cleveland Clinic’s Quality Ratings
in STS/ACC TVT Registry
TAVR
For period 10/1/17-9/30/20.
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
Isolated CABG
(N = 418)
Isolated AVR
(N = 181)
0.5%
1.4%
0.6%
1.8%
Procedure/Volume
Cleveland Clinic Observed
STS Expected
AVR + CABG
(N = 77)
1.3%
3.7%
Isolated MVR
(N = 74)
0.0%
4.2%
MVR + CABG
(N = 22)
4.5%
10.7%
Isolated MV repair (N = 228)
0.0%
0.6%
MV repair + CABG (N = 57)
1.8%
4.2%
Ischemic Heart Disease
SURGICAL TREATMENT
CABG volume in 2020
› 714 isolated CABG
› 654 CABG + other
› 151 (11.0%) were reoperations
1,368
2020 (N = 714)
0.6%
1.3%
2019 (N = 1,015)
0.5%
1.3%
Year
Cleveland Clinic Observed
STS Expected
Sources: Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database and Vizient Clinical Data Base/Resource Manager™.Vizient data used by permission of Vizient. All rights reserved.
2020 (N = 654)
2.5%
5.4%
2019 (N = 717)
2.2%
7.0%
Year
Cleveland Clinic Observed
Vizient Expected
In-Hospital Mortality, Isolated CABG
In-Hospital Mortality, CABG + Other
STEMI = ST-elevation myocardial infarction
Sources: National Cardiovascular Data Registry, CathPCI Registry®, American College of Cardiology Foundation, for rolling four-quarter period through Q4 2020
PERCUTANEOUS CORONARY INTERVENTION (PCI)
Coronary interventions in 2020
Same-day discharge rate for elective PCI
cases in 2020
PCI risk-adjusted in-hospital mortality (all patients), vs. 2.11% for similar hospitals
PCI risk-adjusted in-hospital mortality for STEMI patients, vs. 6.65% for similar hospitals
Median time to PCI for STEMI patients in 2020 (vs. goal of < 90 min)
Proportion of STEMI patients receiving PCI within 90 minutes in 2020
Proportion of STEMI patients prescribed composite guideline-directed medical therapy at discharge in 2020
56 min
Procedure
Time Frame/
Sample*
Mortality
Iliac stenting
2020 (N = 231)
2020 (N = 665)
0.43%
Lower-extremity percutaneous interventions
0.45%
2020 (N = 83)
Femoral endarterectomy with stenting
0.0%
2020 (N = 137)
Lower-extremity bypass
1.46%
2016-2020
(N = 434)**
Carotid stenting
0.7%
2016-2020
(N = 1,513)**
Carotid endarterectomy
0.4%
*Volumes include Cleveland Clinic’s main campus and Northeast Ohio regional hospitals. **Includes all Cleveland Clinic services that perform these procedures at main campus and regional hospitals.
2.5%
16.2%
10.5%
0.0%
MORTALITY RATES FOR ABDOMINAL AORTIC ANEURYSM (AAA) REPAIR
Elective open AAA repair, 2020 (N = 78)
Emergency open AAA repair, 2020 (N = 37)
Elective endovascular AAA repair, 2020
(N = 115)
Emergency endovascular AAA repair, 2020
(N = 19)
VOLUMES SNAPSHOT
Vascular surgery procedures performed in 2020 in greater Cleveland region
Noninvasive vascular lab ultrasound studies performed in 2020 in greater Cleveland region
7,337
48,686
Vascular Disease
In-Hospital Mortality for Various Vascular Surgery Procedures