CPCI-0625-Metric Key 4934 PCI In-Hospital Risk Standardized Rate of Bleeding Events (all patients)-0625-Metric Key 4934 PCI In-Hospital Risk Standardized Rate of Bleeding Events (all patients)

0625-Metric Key 4934 PCI In-Hospital Risk Standardized Rate of Bleeding Events (all patients)

Video Transcription

Video Summary

The June 2025 case scenario from the CAF PCI Registry reviews metric key 4934—PCI in-hospital risk-standardized rate of bleeding events. A 56-year-old male with STEMI and cardiogenic shock undergoes PCI. Despite a drop in hemoglobin from 12.4 to 8.2, there are no observed bleeding signs, but two units of packed red blood cells are transfused post-PCI. The patient receives an Impella, confirming ventricular support. Although no procedural exclusions exist, the patient's transfusion and hemoglobin drop qualify as an observed bleed per the metric. Only one of five outcomes needs to be met for an observed bleed classification.

Keywords

NSTEMI

PCI

thrombectomy

myocardial infarction

coding guidelines

bleeding events

STEMI

cardiogenic shock

Impella