TABLE 12I. ACC–NCDR Cardiac Catheterization and PCI Data. The American College of Cardiology maintains a number of clinical data registries as part of the ACC–National Cardiovascular Data Registry (ACC-NCDR®). Among them is the CathPCI Registry ^TM, which is composed of diagnostic cardiac catheterizations and interventional (PCI) procedures harvested from participating facilities across the nation. Listed below are aggregated data of patients discharged in 2004 from 359 participating facilities. Only records with valid responses to indicators were considered. For more information, visit www.acc.org or call 1–800–253–4636, ext 451.

Diagnostic Cardiac Catheterization Overall "Leading" Centers (Mean Top 25%) "Lagging" Centers (Mean Bottom 25%) Mean Median In-lab mortality1 0.05% 0.00% 0.00% 0.06% Major complications2 2.74% 1.67% 0.54% 3.98% PCI (percutaneous coronary intervention)     Major complications3 4.80% 3.93% 2.33% 6.13%     Vascular complications4 2.20% 1.91% 1.13% 2.89%     Antiplatelet drug administration5 94.14% 97.03% 98.59% 93.81%     Emergency CABG6 0.40% 0.31% 0.00% 0.56%     DBT (door-to-balloon time)7 123.84 min 95.00 min 71.00 min 133.00 min     Pct. patients with DBT <90 minutes8 44.79% 44.44% 60.00% 29.81%     Pct. patients with DBT <120 minutes9 67.75% 70.83% 82.05% 57.03%     In-hospital risk-adjusted mortality10 1.13% 1.01% 0.71% 1.44% 1Mortality in lab. 2,3Cerebrovascular accident, myocardial infarction, congestive heart failure, cardiac tamponade, renal failure. 4Bleeding, vessel occlusion, loss of distal pulse, dissection, psuedoaneurysm, arteriovenous fistula. 5Percentage of patients receiving antiplatelet therapy such as clopidogrel (Plavix) or ticlopidine (Ticlid) during admission. 6Percentage of PCI patients requiring emergency or coronary artery bypass surgery within same admission for: ischemic dysfunction including rest angina despite maximal medical therapy and/or intraaortic balloon pump; acute evolving MI within 24 hours before intervention; pulmonary edema requiring intubation; or shock with or without circulatory support. 7Often called "door-to-balloon time" or DBT, this is the elapsed time between entry to facility and reperfusion of the affected coronary vessel for patients with acute myocardial infarction treated with primary percutaneous coronary intervention (primary PCI). 8Percentage of Primary PCI patients with coronary reperfusion within 90 minutes of entry to facility. 9Percentage of Primary PCI patients with coronary reperfusion within 120 minutes of entry to facility. 10In-hospital mortality rate adjusted by ACC–NCDR Risk Adjustment Algorithm. This includes mortality for any reason whether or not related to the procedure.