Abstract
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.