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Procedural Volume for Peripheral Artery Disease Before, During and After the COVID-19 Pandemic - A Report From the
Osamu Iida1, Mitsuyoshi Takahara2, Shun Kohsaka3
1Cardiovascular Division, Osaka Keisatsu Hospital Osaka Japan.
Insights
The COVID-19 pandemic impacted endovascular therapy (EVT) volumes for peripheral artery disease (PAD) differently based on limb severity. Chronic limb-threatening ischemia (CLTI) volumes remained stable, while intermittent claudication volumes decreased.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Public Health
Background:
- The COVID-19 pandemic's effect on endovascular therapy (EVT) for symptomatic peripheral artery disease (PAD) in Japan remains unexamined.
- Understanding these impacts is crucial for healthcare planning and patient management.
Purpose of the Study:
- To systematically evaluate the impact of the COVID-19 pandemic on EVT procedure volumes in Japan.
- To differentiate the pandemic's effects based on the severity of PAD.
Main Methods:
- Analysis of nationwide EVT procedural registry data from Japan (2012-2023).
- Comparison of EVT volumes for chronic limb-threatening ischemia (CLTI) and intermittent claudication before, during, and after the pandemic.
Main Results:
- EVT volumes for CLTI remained stable throughout the pandemic period and beyond.
- EVT volumes for intermittent claudication showed a decrease below forecasted levels starting in 2020.
- This reduction in intermittent claudication EVT volume persisted even after the main pandemic phase.
Conclusions:
- The COVID-19 pandemic's influence on EVT volumes for PAD is not uniform.
- Limb severity is a key factor determining the impact of the pandemic on EVT utilization.
- Intermittent claudication patient volumes experienced a sustained decline post-pandemic, warranting further investigation.
Background:
The impact of the coronavirus disease 2019 (COVID-19) pandemic on the volume of endovascular therapy (EVT) procedures for symptomatic PAD in Japan has not been systematically studied.
Methods And Results:
We analyzed data from the nationwide EVT procedural registry in Japan (2012-2023). The volume for chronic limb-threatening ischemia (CLTI) remained stable during and after the pandemic, but the volume for intermittent claudication was lower than forecasted after 2020, and the decrease in volume lasted even after the COVID-19 pandemic.
Conclusions:
The impact of the COVID-19 pandemic on EVT volumes differs based on limb severity.
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