Surgical Vessel Harvesting Equipment Market

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The global Endoscopic Vessel Harvesting (EVH) market is experiencing a significant transformation as cardiovascular surgeries shift from traditional open-vessel techniques to sophisticated, minimally invasive approaches. As of 2025, the market is valued at approximately USD 715.61 million, driven by a rising global burden of cardiovascular diseases (CVDs) and a concerted effort by healthcare providers to reduce post-operative recovery times.

Market Overview and 2025 Forecast

Endoscopic vessel harvesting is a surgical procedure used to obtain healthy blood vessels (conduits)—typically the saphenous vein from the leg or the radial artery from the arm—to be used as grafts in Coronary Artery Bypass Grafting (CABG). Unlike traditional methods that require long incisions, EVH utilizes small ports and high-definition endoscopes.

Based on recent industry data, the market is projected to grow at a CAGR of 3.75% to 4.93% through the forecast period. By the end of 2025, the market has matured significantly, with North America maintaining the largest share (approximately 42%) due to advanced infrastructure and high procedural volumes. However, the Asia-Pacific region is emerging as the fastest-growing geographic segment, spurred by a 10.1% growth rate in economies like China and India.

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Market Segmentation

The EVH market is categorized into several critical segments that define its revenue structure:

By Product Type:

EVH Systems: The primary capital equipment used in operating rooms.

Endoscopes: High-resolution imaging tools for vessel visualization.

Accessories & Disposables: This segment is the most lucrative due to recurring demand, accounting for over 64% of the market share in 2025.

By Vessel Type:

Saphenous Vein: Remains the most common conduit due to its length and accessibility.

Radial Artery: Gaining popularity among younger patients due to superior long-term patency rates.

By Application:

Coronary Artery Disease (CAD): The dominant application, representing over 80% of total cases.

Peripheral Artery Disease (PAD): A growing secondary application.

By End-User:

Hospitals (Primary revenue generator).

Ambulatory Surgical Centers (ASCs) (Fastest growing due to the shift toward outpatient surgery).

Minimally Invasive Surgery

The primary catalyst for this market is the global shift toward minimally invasive surgery. Compared to "Open Vessel Harvesting" (OVH), EVH offers a substantial reduction in wound complications—dropping from 15% in open surgeries to less than 4% in endoscopic procedures. This transition is not merely clinical but also economic; shorter hospital stays and fewer readmissions for wound infections significantly lower the overall cost of care for healthcare systems.

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Key Market Players in Endoscopic Vessel Harvesting

The competitive landscape is characterized by a mix of established medical technology giants and specialized surgical innovators. The following companies are the major players operating in the endoscopic vessel harvesting market:

Getinge AB: A leader with its Vasoview system, recently launching the Hemopro 3 in 2024/2025.

Terumo Medical Corporation: Known for the VirtuoSaph Plus system.

LivaNova PLC: A major player in the cardiopulmonary space.

KARL STORZ: Renowned for high-quality endoscopic imaging.

Saphena Medical Inc.: Innovators of the Venapax system, which integrates dissection and ligation.

Other Noteworthy Participants: Cardio Medical Group, Medical Instruments Spa, Devex, Cardio Medical GmbH, Terumo Cardiovascular Systems Corporation, Med Europe S.r.l., and ELITE LIFECARE.

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Market Drivers and Challenges

Drivers:

Geriatric Population: The aging global population is more susceptible to obstructive coronary diseases.

Technological Integration: The 2025 market sees increased use of AI-assisted visualization to help surgeons identify side branches more accurately.

Patient Preference: High demand for "scarless" surgery and reduced post-operative pain.

Challenges:

High Initial Costs: The capital investment for EVH systems can be a barrier for hospitals in emerging markets.

Learning Curve: EVH requires specialized training; a steep learning curve can lead to conduit injury if the surgeon is inexperienced.

Future Outlook

The Endoscopic Vessel Harvesting market in 2025 stands as a pillar of modern cardiac care. With a steady growth trajectory and a clear shift toward disposable, high-efficiency kits, the industry is moving away from the trauma of open surgery. While North America remains the revenue stronghold, the future of the market lies in the rapid adoption of these technologies across Asia and Latin America. As surgical robotics and AI continue to integrate into the operating suite, EVH systems will become even more precise, further cementing their status as the gold standard for vessel harvesting.

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