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 rising adoption of minimally invasive surgical techniques. 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, endoscopes, and accessories leading to improved surgical outcomes and patient recovery times. The disposable segment within the EVH market is expected to show higher growth compared to reusable segments due to concerns regarding infection control and enhanced patient safety. Geographically, North America currently holds a significant market share, attributed to advanced healthcare infrastructure and high adoption rates of minimally invasive procedures. However, the Asia-Pacific region is poised for substantial growth driven by increasing healthcare expenditure and rising awareness regarding cardiovascular diseases. Competition in the market is intense, with key players such as Terumo Corporation, Saphena Medical, KARL STORZ SE & Co KG, Getinge AB, and Livanova PLC constantly innovating to enhance their product offerings and expand their market presence. Factors such as high procedure costs and the availability of alternative treatment options could act as market restraints, but the overall outlook remains positive, projecting substantial market expansion throughout the forecast period.

The continued growth in the EVH market will be significantly influenced by the development of more sophisticated and efficient EVH systems and accessories. Further advancements in endoscope technology, enabling improved visualization and precision during procedures, will also contribute to market growth. The increasing focus on reducing healthcare costs may influence the market towards a greater emphasis on cost-effective solutions and the development of reusable instruments with enhanced sterilization capabilities. Strategic collaborations and partnerships between manufacturers and healthcare providers will play a crucial role in promoting the adoption of EVH technology and ultimately shaping the market landscape during the forecast period. Regulatory approvals and reimbursement policies for EVH procedures will also be influential factors determining market trajectory.

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

This in-depth report provides a comprehensive analysis of the Endoscopic Vessel Harvesting (EVH) market, encompassing its parent market (Cardiovascular Devices Market) and child markets (Peripheral Artery Disease (PAD) treatment and Coronary Artery Disease (CAD) treatment). The report covers the period 2019-2033, with 2025 as the base year and a forecast period of 2025-2033. The market size is valued in million units. This crucial resource is tailored for industry professionals, investors, and strategic decision-makers seeking a clear understanding of this evolving sector.

Endoscopic Vessel Harvesting Market Dynamics & Structure

The Endoscopic Vessel Harvesting market is characterized by moderate concentration, with key players holding significant market share. The market is driven by technological advancements in minimally invasive surgical techniques, increasing prevalence of cardiovascular diseases (CAD & PAD), and a rising geriatric population. Regulatory approvals and reimbursement policies significantly influence market growth. Competitive substitutes include traditional open surgical techniques, but EVH offers advantages in terms of reduced recovery time and improved patient outcomes. Mergers and acquisitions (M&A) activity has been relatively stable, with a focus on expanding product portfolios and geographic reach. The market displays a complex interplay of factors:

• Market Concentration: The top 5 players hold approximately xx% of the market share in 2025.
• Technological Innovation: Continuous improvement in endoscope technology, imaging capabilities, and harvesting techniques drives market expansion.
• Regulatory Landscape: Stringent regulatory approvals and reimbursement policies in different regions impact market entry and growth.
• Competitive Landscape: Competition is primarily driven by product innovation, pricing strategies, and distribution networks. The threat of substitution from open surgery remains, although it’s diminishing due to EVH's advantages.
• End-User Demographics: The aging population and increasing prevalence of cardiovascular diseases are key drivers, as EVH provides a less invasive treatment.
• M&A Trends: An estimated xx M&A deals occurred in the EVH sector between 2019 and 2024, primarily focusing on technological integration and market expansion.

Endoscopic Vessel Harvesting Market Growth Trends & Insights

The global Endoscopic Vessel Harvesting market witnessed substantial growth between 2019 and 2024, driven primarily by the factors outlined above. The market size expanded from xx million units in 2019 to xx million units in 2024, registering a Compound Annual Growth Rate (CAGR) of xx%. This positive trajectory is anticipated to continue throughout the forecast period (2025-2033), with a projected CAGR of xx%. Increased adoption of minimally invasive procedures, coupled with technological advancements leading to improved device efficacy and reduced complications, significantly contributes to market expansion. Shifting consumer preferences toward less invasive options also propel market growth. Market penetration of EVH procedures compared to traditional techniques shows a steady increase from xx% in 2019 to xx% in 2024. Technological disruptions, such as the development of robotic-assisted EVH systems, are expected to accelerate market growth further. The introduction of more efficient and precise endoscopic systems is likely to boost adoption rates within various segments. This growth is also supported by a gradual increase in healthcare expenditure globally, along with supportive government initiatives promoting minimally invasive surgeries.

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

North America currently dominates the Endoscopic Vessel Harvesting market, holding the largest market share, followed by Europe. This dominance is attributed to:

• High Prevalence of Cardiovascular Diseases: The high incidence of CAD and PAD in these regions fuels the demand for EVH procedures.
• Advanced Healthcare Infrastructure: Well-established healthcare systems and robust reimbursement policies contribute to higher adoption rates.
• Technological Advancements: North America and Europe are at the forefront of EVH technology development and innovation.

Within the market segments:

• By Usability: The disposable segment currently holds a larger market share than the reusable segment due to the convenience and infection control benefits associated with disposable devices, resulting in an increased demand.
• By Application: The CAD segment currently holds a larger market share than the PAD segment, likely due to higher prevalence and earlier adoption of EVH in CAD treatment.
• By Product: EVH systems are the dominant product segment owing to their integrated nature and functionality.

The Asia-Pacific region exhibits substantial growth potential due to rising healthcare expenditure, increasing awareness of cardiovascular diseases, and growing adoption of advanced medical technologies. Specific countries like Japan, China, and India are projected to witness significant market expansion during the forecast period.

Endoscopic Vessel Harvesting Market Product Landscape

The EVH market showcases a range of products, including advanced EVH systems with enhanced visualization capabilities, improved ergonomics, and minimal invasiveness. Significant product innovations include the integration of robotic assistance for greater precision and reduced trauma, as well as the use of advanced imaging technologies like intravascular ultrasound for better vessel visualization. These advancements translate to improved surgical outcomes, reduced complications, and shorter recovery times. Unique selling propositions for leading vendors often include superior imaging quality, ease of use, and enhanced precision.

Key Drivers, Barriers & Challenges in Endoscopic Vessel Harvesting Market

Key Drivers:

• Technological advancements in endoscopic systems and imaging techniques are the main drivers of market growth.
• Increasing prevalence of coronary artery disease and peripheral artery disease.
• Growing preference for minimally invasive surgical procedures among patients and surgeons.

Challenges and Restraints:

• High initial investment costs associated with EVH systems can act as a barrier to adoption, especially in low-resource settings.
• Stringent regulatory approvals and reimbursement policies across different regions could hamper market expansion.
• Intense competition among existing players in the market, necessitating continuous innovation and improved product offerings. The impact of competition is estimated to reduce the market CAGR by approximately xx% by 2033.

Emerging Opportunities in Endoscopic Vessel Harvesting Market

• Expansion into untapped markets, particularly in developing countries with high prevalence of cardiovascular diseases.
• Development of more versatile and cost-effective EVH systems catered to specific clinical needs.
• Integration of advanced imaging and data analytics to enhance surgical precision and outcomes.

Growth Accelerators in the Endoscopic Vessel Harvesting Market Industry

Long-term growth in the EVH market will be significantly accelerated by ongoing technological advancements leading to more precise and efficient systems. Strategic partnerships between device manufacturers and healthcare providers will play a crucial role in driving wider adoption and improving patient access. Expansion into new geographical markets, particularly in developing economies with high prevalence of cardiovascular diseases and untapped potential, will be essential for sustained market 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 production capacity and potentially influencing market supply and pricing.
• January 2022: Getinge launched the Getinge EVH Circle of Excellence, a program aimed at recognizing and supporting clinicians proficient in EVH procedures, fostering the adoption and expertise within the medical community.

In-Depth Endoscopic Vessel Harvesting Market Market Outlook

The future of the Endoscopic Vessel Harvesting market is promising, driven by a confluence of factors including technological innovation, increasing prevalence of cardiovascular diseases, and a growing preference for minimally invasive surgical techniques. Strategic partnerships and market expansion into new geographical regions will unlock significant growth opportunities. The market's continued expansion is projected to lead to further product development, improved surgical outcomes, and enhanced patient care. The continuous improvement of existing EVH systems and development of new and improved EVH devices are expected to be major growth catalysts in the forecast period.

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