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.

Circulation Reports
|February 11, 2026
PubMed

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.
Abstract

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