CAD data is getting used more often in 3d graphics (although there's still some cleanup). It's used commonly for product shots and starting to be used for games. The most recent GDC had a McLaren pulled from CAD data running real time in Unreal Engine[1]. I honestly don't think much cleanup was done because of the timeline for projects like these (I thought I heard 6 weeks start to finish focusing on custom engine development for interaction and shading).
In my experience, the problem is more in how the model is organized; having ever screw or washer as a separate piece of geometry causes problems (3d tools have trouble with very large geometry counts even if the poly count isn't high). CAD data also doesn't work very well with non-hard materials like upholstery; stitching is likely missing, as well as things that make cloth/leather look normal like pinching or gravity pushing on things.
[1] https://www.youtube.com/watch?v=0oZfvoG6qYQ