Understanding Growth Challenges in Endoscopic Vessel Harvesting Market Market 2025-2033

Key Insights

The Endoscopic Vessel Harvesting (EVH) market, valued at $0.5 billion in 2025, is projected to experience robust growth, driven by the increasing prevalence of coronary artery disease (CAD) and peripheral artery disease (PAD), coupled with the advantages of minimally invasive procedures. The market's Compound Annual Growth Rate (CAGR) of 3.94% from 2025 to 2033 indicates a steady expansion, fueled by technological advancements in EVH systems and endoscopes, leading to improved surgical outcomes and patient recovery times. Reusable EVH systems are expected to gain traction due to their cost-effectiveness, while disposable systems will maintain demand driven by infection control concerns. Geographically, North America currently holds a significant market share, attributable to advanced healthcare infrastructure and higher adoption rates of minimally invasive surgical techniques. However, Asia Pacific is projected to witness the fastest growth, spurred by rising healthcare expenditure and increasing awareness of EVH benefits. Market restraints include the high initial investment costs associated with EVH equipment and the need for specialized training for medical personnel. Nevertheless, continuous innovation in EVH technology, coupled with increasing demand for less invasive procedures, is anticipated to drive market expansion throughout the forecast period.

The competitive landscape is characterized by a mix of established medical device companies and specialized EVH system providers. Key players such as Terumo Corporation, Saphena Medical, KARL STORZ SE & Co KG, Getinge AB, and Livanova PLC are actively involved in research and development, striving for technological advancements and market expansion strategies. Strategic partnerships, acquisitions, and product launches are key competitive strategies employed by these companies to maintain market share and penetrate new geographical regions. The future of the EVH market will depend heavily on technological advancements that enhance surgical precision, reduce procedure times, and improve patient outcomes. Furthermore, favorable regulatory environments and reimbursement policies will also play a crucial role in shaping the growth trajectory of this market segment.

Endoscopic Vessel Harvesting Market: A Comprehensive Report (2019-2033)

This comprehensive report provides an in-depth analysis of the Endoscopic Vessel Harvesting (EVH) market, encompassing its parent market (Minimally Invasive Cardiovascular Surgery) and child markets (EVH systems, endoscopes, and accessories). The study period spans 2019-2033, with 2025 serving as the base and estimated year. The forecast period covers 2025-2033, and the historical period encompasses 2019-2024. The market size is presented in million units.

Endoscopic Vessel Harvesting Market Dynamics & Structure

This section analyzes the EVH market's competitive landscape, technological advancements, regulatory influences, and market trends. The market is moderately concentrated, with key players including Medical Instruments Spa, Terumo Corporation, Saphena Medical, KARL STORZ SE & Co KG, Getinge AB, and Livanova PLC. However, the presence of smaller, specialized companies signifies a dynamic and evolving competitive environment.

• Market Concentration: xx% of the market is held by the top 5 players in 2025. The remaining xx% is fragmented amongst numerous smaller entities.
• Technological Innovation: Continuous innovation in endoscopic technology, including improved imaging capabilities and minimally invasive surgical tools, is driving market growth. However, high R&D costs and stringent regulatory approvals pose significant innovation barriers.
• Regulatory Frameworks: Stringent regulatory approvals and compliance requirements for medical devices in key markets (e.g., FDA approvals in the US and CE marking in Europe) influence market dynamics.
• Competitive Product Substitutes: Traditional open surgical techniques remain a competitive substitute, particularly in regions with limited access to advanced endoscopic technologies.
• End-User Demographics: The aging global population and rising prevalence of cardiovascular diseases are key drivers of EVH market growth. Growth is further fueled by the increasing adoption of minimally invasive surgical procedures.
• M&A Trends: The EVH market has witnessed xx M&A deals in the past five years, primarily driven by strategic expansion and technology acquisition initiatives. These activities are expected to increase in the coming years.

Endoscopic Vessel Harvesting Market Growth Trends & Insights

The global Endoscopic Vessel Harvesting market is projected to experience significant growth during the forecast period (2025-2033), driven by factors such as the increasing prevalence of cardiovascular diseases, rising adoption of minimally invasive surgeries, and technological advancements in EVH systems. The market size is estimated at xx million units in 2025 and is expected to reach xx million units by 2033, exhibiting a CAGR of xx%. This growth is largely attributed to increased awareness about the benefits of EVH procedures over traditional methods and favorable reimbursement policies in various regions. Technological disruptions, such as the introduction of robotic-assisted EVH systems and improved imaging techniques, are accelerating market adoption. Furthermore, evolving consumer preferences towards minimally invasive procedures with faster recovery times contribute to the market's growth trajectory. Market penetration is anticipated to increase from xx% in 2025 to xx% by 2033.

Dominant Regions, Countries, or Segments in Endoscopic Vessel Harvesting Market

North America currently dominates the EVH market, driven by high healthcare expenditure, advanced medical infrastructure, and a high prevalence of cardiovascular diseases. However, the Asia-Pacific region is projected to witness the fastest growth during the forecast period due to increasing healthcare awareness, rising disposable incomes, and expanding medical infrastructure.

By Usability:

• Disposable: The disposable segment holds a larger market share due to convenience, reduced risk of infection, and ease of use.
• Reusable: The reusable segment is gaining traction due to cost-effectiveness in the long run, although sterilization processes and maintenance costs need to be considered.

By Application:

• Coronary Artery Disease (CAD): CAD remains the primary application of EVH, driving substantial market demand.
• Peripheral Artery Disease (PAD): The PAD application segment is also showing promising growth due to the increasing prevalence of PAD and the benefits of EVH in this context.

By Product:

• EVH Systems: This segment holds the largest market share, as the system encompasses all necessary components for EVH procedures.
• Endoscopes: Advances in endoscope technology (e.g., enhanced imaging) are fueling segment growth.
• Accessories: The accessories segment shows steady growth, aligning with increasing EVH procedure volumes.

Endoscopic Vessel Harvesting Market Product Landscape

The EVH market showcases continuous innovation in system design, materials, and imaging capabilities. Recent advancements include smaller and more flexible endoscopes, improved visualization techniques, and better ergonomic designs for enhanced surgeon comfort and precision. These advancements are driving better procedural outcomes, patient recovery, and overall market penetration. Unique selling propositions focus on reduced invasiveness, improved visualization, faster recovery times, and enhanced surgical precision.

Key Drivers, Barriers & Challenges in Endoscopic Vessel Harvesting Market

Key Drivers:

• Rising prevalence of cardiovascular diseases.
• Growing preference for minimally invasive surgeries.
• Technological advancements in EVH systems and accessories.
• Favorable reimbursement policies in developed markets.

Challenges & Restraints:

• High initial investment costs for EVH systems.
• Stringent regulatory approvals and compliance requirements.
• Skill and expertise required for EVH procedures.
• Competition from traditional open surgical techniques.

Emerging Opportunities in Endoscopic Vessel Harvesting Market

• Expanding into untapped markets in developing economies.
• Development of advanced robotic-assisted EVH systems.
• Integration of artificial intelligence for improved image analysis and surgical guidance.
• Focus on personalized EVH procedures based on individual patient needs.

Growth Accelerators in the Endoscopic Vessel Harvesting Market Industry

Long-term growth in the EVH market will be fueled by ongoing technological advancements, strategic partnerships among medical device manufacturers, and continued expansion into emerging markets. Furthermore, increased investment in research and development, particularly in areas such as robotic surgery and improved imaging techniques, will play a crucial role in driving growth.

Key Players Shaping the Endoscopic Vessel Harvesting Market Market

• Medical Instruments Spa *List Not Exhaustive
• Terumo Corporation
• Saphena Medical
• KARL STORZ SE & Co KG
• Getinge AB
• Livanova PLC

Notable Milestones in Endoscopic Vessel Harvesting Market Sector

• September 2022: Terumo Cardiovascular opened its newest manufacturing plant in La Lima, Cartago, Costa Rica, expanding its production capacity and strengthening its market presence.
• January 2022: Getinge launched the Getinge EVH Circle of Excellence, recognizing top clinicians and enhancing expertise in EVH procedures, indirectly boosting market adoption.

In-Depth Endoscopic Vessel Harvesting Market Market Outlook

The EVH market is poised for substantial growth over the next decade, driven by technological innovation, expanding applications, and increasing adoption rates. Strategic partnerships, product diversification, and entry into new geographic regions will create significant opportunities for market players. Continued focus on improving procedural outcomes, reducing costs, and enhancing patient experiences will be vital for sustained growth in this dynamic market segment.

Endoscopic Vessel Harvesting Market Segmentation

• 1. Product
  • 1.1. EVH Systems
  • 1.2. Endoscopes
  • 1.3. Accessories
• 2. Usability
  • 2.1. Disposable
  • 2.2. Reusable
• 3. Application
  • 3.1. Coronary Artery Disease (CAD)
  • 3.2. Peripheral Artery Disease (PAD)

Endoscopic Vessel Harvesting Market Segmentation By Geography

• 1. North America
  • 1.1. United States
  • 1.2. Canada
  • 1.3. Mexico
• 2. Europe
  • 2.1. Germany
  • 2.2. United Kingdom
  • 2.3. France
  • 2.4. Italy
  • 2.5. Spain
  • 2.6. Rest of Europe
• 3. Asia Pacific
  • 3.1. China
  • 3.2. Japan
  • 3.3. India
  • 3.4. Australia
  • 3.5. South Korea
  • 3.6. Rest of Asia Pacific
• 4. Middle East and Africa
  • 4.1. GCC
  • 4.2. South Africa
  • 4.3. Rest of Middle East and Africa
• 5. South America
  • 5.1. Brazil
  • 5.2. Argentina
  • 5.3. Rest of South America