The global endoscopic vessel harvesting (EVH) system market is projected to expand from USD 577.1 million in 2025 to USD 949 million by 2035, at a compound annual growth rate (CAGR) of 5.1%. This growth is fueled by increasing coronary artery bypass grafting (CABG) procedures, a shift toward minimally invasive techniques, and ongoing technological innovation.
United States and Germany Lead, Asia-Pacific Markets Accelerating
The United States and Germany continue to dominate the EVH market due to advanced healthcare infrastructure and high CABG volumes. Meanwhile, Japan, India, and Brazil are witnessing rapid adoption driven by growing cardiac disease prevalence, infrastructure upgrades, and medical tourism.
Saphenous Vein Segment Retains Market Leadership
Among vessel types, the saphenous vein remains the preferred choice for CABG due to accessibility, length, and procedural familiarity. EVH techniques have reduced trauma and infection risk, reinforcing the segment’s position with a projected 5.2% CAGR through 2035.
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Disposable Systems Drive Hospital Demand
Disposable EVH systems are the fastest-growing segment (5.5% CAGR), favored for infection control and ease of use. Hospitals in North America, Europe, and advanced Asian markets prioritize single-use devices, while reusable systems see adoption in cost-sensitive regions such as India and Brazil.
AI and Robotics Reshape EVH Procedures
Artificial intelligence is redefining vessel harvesting. New AI-guided systems leverage augmented reality “heat-maps” for precise branch cauterization, real-time image segmentation, and RF energy modulation. These tools shorten harvest times by up to 25% and reduce branch injuries by as much as 30%.
Leading Players Innovate to Gain Competitive Edge
Getinge AB, with a 24.6% market share, continues to lead through its Vasoview Hemopro line, offering simultaneous cut-and-seal technology and ergonomic designs. Terumo Corporation follows with its VirtuoSaph Plus, focusing on enhanced visualization and surgeon training support. LivaNova PLC emphasizes procedural efficiency and surgeon comfort, while KARL STORZ SE & Co. leverages precision engineering. Saphena Medical Inc. differentiates with unitary EVH systems that streamline harvesting.
Competitive Landscape: Innovation and Training as Key Battlegrounds
Major players are investing heavily in AI integration, ergonomic designs, and surgeon education. Strategic partnerships between hospitals and manufacturers are emerging to enhance affordability and regional availability, especially in Asia-Pacific and Latin America.
Regional Highlights Showcase Diverse Growth Drivers
- United States: Driven by high heart disease prevalence, preference for minimally invasive surgery, and strong healthcare spending. CAGR: 2.1%.
- Germany: Leveraging a robust healthcare system, skilled surgeons, and patient awareness. CAGR: 3.8%.
- India: Benefiting from healthcare infrastructure development, medical tourism, and government health initiatives. CAGR: 3.9%.
- Japan: Technological innovation and aging demographics drive uptake. CAGR: 4.6%.
- Brazil: Gains from healthcare improvements, public awareness, and surgeon training. CAGR: 3.5%.
Opportunities: AI Training Platforms and Bioengineered Grafts
Telemedicine-based surgeon training, biodegradable surgical components, and bioengineered graft alternatives are expected to transform the EVH landscape. AI-enabled imaging and data analytics will further improve safety and outcomes, lowering adoption barriers.
Challenges: Costs, Training, and Regulatory Complexity
High device costs, lengthy training requirements, and varying regulatory standards remain hurdles, particularly in emerging markets. Concerns over long-term graft patency are being addressed through advanced imaging, improved training platforms, and next-generation device design.
Outlook: Value-Based Care and Sustainability in Focus
The future EVH market will be shaped by value-based care models emphasizing cost savings, reduced recovery times, and sustainability. Disposable systems, ergonomic designs, and green surgical components are expected to align with both clinical and environmental priorities.
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