Natarajan, Jay P.Mahenthiran, Ashorne K.Bertges, Daniel J.Huffman, Kristopher M.Eldrup-Jorgensen, JensLemmon, Gary W.2021-11-192021-11-192021-06Natarajan, J. P., Mahenthiran, A. K., Bertges, D. J., Huffman, K. M., Eldrup-Jorgensen, J., & Lemmon, G. W. (2021). Effects of coronavirus disease 2019 on the Society for Vascular Surgery Vascular Quality Initiative arterial procedure registry. Journal of Vascular Surgery, 73(6), 1852–1857. https://doi.org/10.1016/j.jvs.2020.12.0871097-6809https://hdl.handle.net/1805/27043This article is made available for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.In the present report, we have described the abrupt pivot of Vascular Quality Initiative physician members away from standard clinical practice to a restrictive phase of emergent and urgent vascular procedures in response to the coronavirus disease 2019 (COVID-19) pandemic. The Society for Vascular Surgery Patient Safety Organization queried both data managers and physicians in May 2020 to discern the effects of the COVID-19 pandemic. Approximately three fourths of physicians (74%) had adopted a restrictive operating policy for urgent and emergent cases only. However, one half had considered "time sensitive" elective cases as urgent. Data manager case entry was affected by both low case volumes and low staffing resulting from reassignment or furlough. A sevenfold reduction in arterial Vascular Quality Initiative case volume entry was noted in the first quarter of 2020 compared with the same period in 2019. The downstream consequences of delaying vascular procedures for carotid artery stenosis, aortic aneurysm repair, vascular access, and chronic limb ischemia remain undetermined. Further ramifications of the COVID-19 pandemic shutdown will likely be amplified if resumption of elective vascular care is delayed beyond a short window of time.en-USPublic Health EmergencyCovid-19Clinical practice shiftVQI arterial registryPhysician surveyArticle