Global Endoscopic Vessel Harvesting Systems Market Growth, Share, Size, Trends and Forecast (2025 - 2031)

The Global Endoscopic Vessel Harvesting Systems Market is segmented by Product, Vessel, Technique, Application and Geography, offering a comprehensive view of the market’s growth and diversification. By product, the market includes devices such as the endoscopic vessel harvesting systems (EVH) and robotic-assisted EVH systems. Traditional EVH systems remain the most widely used due to their cost-effectiveness and efficiency in harvesting vessels for coronary artery bypass grafting (CABG). However, robotic-assisted systems are gaining popularity for their precision, flexibility, and enhanced visualization, driving innovation in minimally invasive cardiac surgeries.

Segmentation by vessel focuses on the types of vessels commonly harvested, including the saphenous vein, radial artery, and internal mammary artery. The saphenous vein is the most commonly harvested vessel for CABG procedures due to its accessibility and suitability for grafting. However, the radial artery and internal mammary artery are preferred in certain cases for their long-term patency and improved patient outcomes. The demand for vessels like the radial artery is rising due to the increased focus on providing better grafts with higher durability, contributing to the growth of specialized harvesting systems.

The technique segmentation divides the market into traditional EVH and advanced robotic-assisted techniques. Robotic systems offer superior precision and reduced human error during the harvesting process, driving their adoption in advanced medical centers and improving surgical outcomes. By application, endoscopic vessel harvesting is primarily used in cardiovascular procedures like CABG, where grafting is required. Hospitals remain the primary end users due to their infrastructure and expertise in complex surgeries, with ambulatory surgical centers also showing growth for less-invasive procedures. Geographically, North America holds the largest market share due to advanced healthcare systems and high adoption of innovative medical technologies. Meanwhile, the Asia-Pacific region is experiencing rapid growth driven by expanding healthcare access, increasing cardiovascular disease prevalence, and rising adoption of minimally invasive surgical techniques.

Global Endoscopic Vessel Harvesting Systems Segment Analysis

In this report, the Global Endoscopic Vessel Harvesting Systems Market has been segmented by Product, Vessel, Technique, Application and Geography.

Global Endoscopic Vessel Harvesting Systems Market, Segmentation by Product

The Global Endoscopic Vessel Harvesting Systems Market has been segmented by Product into EVH Systems, Endoscopes, and Accessories.

The Global Endoscopic Vessel Harvesting Systems Market is segmented by product into EVH Systems, Endoscopes, and Accessories. Endoscopic vessel harvesting (EVH) systems have gained significant traction in recent years due to their minimally invasive nature and the associated benefits for patients undergoing coronary artery bypass graft (CABG) surgery. EVH systems enable surgeons to harvest veins or arteries required for grafting with greater precision and efficiency compared to traditional open harvesting techniques.

EVH systems comprise specialized instruments and equipment designed to facilitate the harvesting process. These systems typically include video monitors, cameras, insufflators, and specialized instruments such as dissectors and retractors. They offer improved visualization, enhanced maneuverability, and reduced trauma to the harvested vessels, resulting in shorter recovery times and better outcomes for patients. Endoscopes are another crucial component of the endoscopic vessel harvesting process. These are medical devices equipped with a camera and light source that allow surgeons to visualize the interior of blood vessels and surrounding tissues during the harvesting procedure. Endoscopes come in various configurations, including straight, angled, and flexible models, to accommodate different anatomical requirements and surgical approaches.

Accessories play a vital role in supporting the functionality of EVH systems and endoscopes. These may include disposable or reusable components such as trocars, cannulas, forceps, and suction devices. Accessories are designed to facilitate vessel dissection, manipulation, and extraction while maintaining a sterile surgical environment and ensuring patient safety. The market for endoscopic vessel harvesting systems is driven by several factors, including the increasing prevalence of cardiovascular diseases, the growing adoption of minimally invasive surgical techniques, and advancements in endoscopic technology. EVH systems offer benefits such as reduced surgical trauma, shorter hospital stays, and faster recovery times, driving their adoption among surgeons and healthcare facilities worldwide.

Global Endoscopic Vessel Harvesting Systems Market, Segmentation by Vessel

The Global Endoscopic Vessel Harvesting Systems Market has been segmented by Vessel into Saphenous Vein, and Radial Artery.

The Global Endoscopic Vessel Harvesting Systems Market, segmented by vessel, primarily focuses on the saphenous vein and radial artery as the two most commonly harvested vessels for coronary artery bypass grafting (CABG) and other vascular procedures. The saphenous vein is the most widely used vessel for grafting due to its ease of access and suitability for large artery bypass. Harvesting the saphenous vein through endoscopic techniques offers advantages such as smaller incisions, reduced trauma to surrounding tissues, and faster recovery times, making it a preferred choice for many surgeons.

The radial artery, although less commonly used than the saphenous vein, is gaining popularity due to its long-term patency and favorable outcomes in some cardiovascular procedures. The radial artery is typically harvested from the forearm and used as a conduit for grafting in high-risk CABG patients. It is considered superior to the saphenous vein in certain cases due to its durability and reduced risk of graft failure over time. With advancements in endoscopic vessel harvesting systems, harvesting the radial artery has become more efficient, providing patients with an alternative to traditional vein grafts.

The growing preference for the radial artery is partly driven by its advantages in minimizing long-term complications and offering more durable grafts, which is crucial for the long-term success of coronary bypass surgeries. Both vessel options are critical in endoscopic vessel harvesting procedures, and the choice between the saphenous vein and radial artery often depends on patient-specific factors, such as the size and condition of the arteries and the surgeon's expertise. As the market continues to evolve, advancements in endoscopic techniques will likely expand the use of both vessels in more diverse clinical settings, improving patient outcomes and surgical efficiency.

Global Endoscopic Vessel Harvesting Systems Market, Segmentation by Technique

The Global Endoscopic Vessel Harvesting Systems Market has been segmented by Technique into Closed Tunnel Harvesting and Open Tunnel Harvesting.

The Global Endoscopic Vessel Harvesting Systems Market is segmented by technique into closed tunnel harvesting and open tunnel harvesting, two distinct approaches used in endoscopic vessel harvesting for coronary artery bypass grafting (CABG) and other vascular surgeries. Closed tunnel harvesting is the more commonly used technique, where the vessel is removed through a small incision with minimal exposure to external air. The process involves a closed system that reduces the risk of contamination and damage to the harvested vessel, offering better cosmetic results and faster recovery times for patients. Closed tunnel harvesting has gained preference due to its minimally invasive nature and the reduced risk of wound complications.

In contrast, open tunnel harvesting involves a more direct method where the vessel is exposed during the harvesting process, allowing for greater visibility and easier manipulation of the vessel. While this technique may be used in certain situations requiring more control or in complex cases, it tends to result in larger incisions, more significant trauma to surrounding tissues, and longer recovery times compared to the closed tunnel approach. However, open tunnel harvesting still plays a role in cases where closed tunnel techniques may be difficult or less effective, especially in patients with difficult anatomy or specific vascular conditions.

The choice between closed tunnel harvesting and open tunnel harvesting depends on several factors, including the surgeon’s experience, patient condition, and the specific requirements of the procedure. The closed tunnel technique is the dominant method due to its advantages in terms of patient recovery, reduced scarring, and lower infection risks. As endoscopic vessel harvesting systems continue to evolve, innovations in closed tunnel harvesting are expected to further improve precision, efficiency, and outcomes, solidifying its position as the preferred technique in most CABG surgeries. However, open tunnel harvesting may continue to be used in select, complex cases where higher visibility and access to the vessel are necessary.

Global Endoscopic Vessel Harvesting Systems Market, Segmentation by Application

The Global Endoscopic Vessel Harvesting Systems Market has been segmented by Application into Coronary Artery Disease (CAD) and Peripheral Artery Disease (PAD).

The Global Endoscopic Vessel Harvesting Systems Market has witnessed substantial growth in recent years, primarily driven by advancements in medical technology and the increasing prevalence of cardiovascular diseases worldwide. One of the key factors contributing to this growth is the segmentation of the market by application, particularly into Coronary Artery Disease (CAD) and Peripheral Artery Disease (PAD). Coronary Artery Disease (CAD) is a leading cause of morbidity and mortality globally, characterized by the narrowing or blockage of coronary arteries that supply blood to the heart muscle. Patients with CAD often require coronary artery bypass grafting (CABG) surgery to restore blood flow to the heart. Endoscopic vessel harvesting systems play a crucial role in CABG procedures by enabling the minimally invasive retrieval of blood vessels, such as the saphenous vein or radial artery, for use as grafts. The demand for endoscopic vessel harvesting systems in CAD applications is driven by the rising prevalence of CAD and the increasing adoption of minimally invasive surgical techniques.

Peripheral Artery Disease (PAD) refers to the narrowing or blockage of arteries outside the heart, typically affecting the arteries that supply blood to the limbs. PAD can lead to symptoms such as leg pain, cramping, and reduced mobility, and in severe cases, it may result in limb ischemia or limb loss. Patients with PAD may require surgical interventions, such as peripheral artery bypass grafting or peripheral vascular bypass surgery, to restore blood flow to the affected limbs.

Endoscopic vessel harvesting systems are increasingly being used in PAD applications to facilitate the minimally invasive retrieval of autologous veins or arteries for bypass grafting procedures. The growing prevalence of PAD, coupled with the advantages of minimally invasive surgery in improving patient outcomes and reducing recovery times, is driving the demand for endoscopic vessel harvesting systems in PAD applications.

Global Endoscopic Vessel Harvesting Systems Market, Segmentation by Geography

In this report, the Global Endoscopic Vessel Harvesting Systems Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East and Africa and Latin America.

Global Endoscopic Vessel Harvesting Systems Market Share (%), by Geographical Region, 2024

North America has historically been a dominant market for endoscopic vessel harvesting systems, attributed to well-established healthcare infrastructure, high adoption rates of advanced medical technologies, and a large patient pool suffering from cardiovascular diseases. Moreover, the presence of key market players and extensive research and development activities contribute to the growth of this region.

Europe also holds a substantial share in the global endoscopic vessel harvesting systems market, driven by factors such as the increasing geriatric population, rising prevalence of chronic diseases, and favorable reimbursement policies. Additionally, initiatives promoting minimally invasive surgeries and technological advancements in healthcare facilities further propel market growth in this region.

The Asia Pacific region is witnessing rapid growth in the adoption of endoscopic vessel harvesting systems, fueled by improving healthcare infrastructure, rising healthcare expenditure, and growing awareness about the benefits of minimally invasive procedures among both patients and healthcare providers. Moreover, the presence of a large patient pool and increasing investments by key market players in emerging economies contribute to market expansion in this region.

This report provides an in depth analysis of various factors that impact the dynamics of Global Endoscopic Vessel Harvesting Systems Market. These factors include; Market Drivers, Restraints and Opportunities.

Drivers, Restraints and Opportunity Analysis

Drivers

• Minimally Invasive Surgery Trend
• Technological Advancements

• Increasing Cardiovascular Disease Burden - One of the primary manifestations of CVDs is coronary artery disease (CAD), characterized by the narrowing or blockage of coronary arteries due to the buildup of plaque—a combination of cholesterol, fat, and other substances. CAD can lead to various complications, including angina (chest pain), myocardial infarction (heart attack), and even sudden cardiac death. With the prevalence of risk factors such as unhealthy diets, sedentary lifestyles, tobacco use, obesity, and diabetes on the rise, the incidence of CAD and other cardiovascular conditions continues to escalate.

  Endoscopic vessel harvesting systems play a crucial role in coronary artery bypass grafting (CABG) surgery, which is a common treatment for CAD and other forms of coronary artery disease. CABG surgery involves bypassing blocked or narrowed coronary arteries by grafting blood vessels from other parts of the body, such as the saphenous vein from the leg or the radial artery from the arm, to create alternate pathways for blood flow to the heart muscle. Endoscopic vessel harvesting systems enable minimally invasive harvesting of these blood vessels, offering several advantages over traditional open harvesting techniques.

  Minimally invasive techniques also contribute to lower rates of postoperative complications, including wound infections, pain, and scarring, leading to improved patient outcomes and satisfaction. Endoscopic vessel harvesting systems facilitate greater precision and accuracy in vessel harvesting, ensuring the optimal length and quality of grafts for CABG procedures.There is a parallel increase in the demand for endoscopic vessel harvesting systems, driven by the need for minimally invasive, efficient, and patient-friendly approaches to vessel harvesting in cardiac surgery. This trend is further reinforced by ongoing technological advancements, such as the development of advanced imaging systems, robotic-assisted techniques, and integrated navigation platforms, which enhance the capabilities and outcomes of endoscopic vessel harvesting procedures.

Restraints

• High Cost
• Lack of Skilled Professionals

• Limited Awareness and Acceptance - One key factor contributing to this restraint is the traditional reliance on open surgical techniques for vessel harvesting. Many healthcare professionals are accustomed to conventional open harvesting methods and may be hesitant to adopt newer, minimally invasive techniques such as EVH. Additionally, there may be a perception among surgeons that EVH procedures are more complex or time-consuming, leading to reluctance to incorporate these systems into their surgical practice.

  Limited awareness of the benefits of EVH among patients can also hinder the adoption of these systems. Patients may be unfamiliar with the concept of minimally invasive vessel harvesting and may prefer the perceived safety and familiarity of traditional open surgical approaches. In some cases, patients may not even be aware that EVH is an option for their surgery, leading to missed opportunities for its implementation.

  Another contributing factor to the limited acceptance of EVH systems is the initial investment required for hospitals to acquire and implement these technologies. While EVH systems have been shown to offer long-term cost savings due to reduced postoperative complications and shorter hospital stays, the upfront costs associated with purchasing and training personnel on these systems can be a barrier for healthcare institutions, especially those with limited financial resources. Challenges related to training and education may impact the adoption of EVH systems. Healthcare professionals require specialized training to perform endoscopic vessel harvesting effectively, and ongoing education is needed to stay updated on the latest techniques and best practices. However, access to comprehensive training programs may be limited, particularly in regions with fewer resources or in smaller healthcare facilities.

Opportunities

• Rising Prevalence of Cardiovascular Diseases
• Aging Population

• Increasing Healthcare Expenditure - The global endoscopic vessel harvesting systems market is experiencing notable growth, and one significant contributing factor is the increasing healthcare expenditure worldwide. As healthcare spending continues to rise, particularly in developed and emerging economies, there is a corresponding increase in demand for advanced medical devices and technologies, including endoscopic vessel harvesting systems.

  Endoscopic vessel harvesting systems are used in minimally invasive procedures to harvest veins or arteries from a patient's body for coronary artery bypass grafting (CABG) surgeries. These systems offer several advantages over traditional open harvesting methods, including reduced patient trauma, faster recovery times, and lower risk of complications such as wound infections. As a result, they are increasingly being adopted by healthcare providers seeking to improve patient outcomes and reduce healthcare costs associated with post-operative care.

  The growing healthcare expenditure is driven by various factors, including population aging, the rising prevalence of chronic diseases such as cardiovascular diseases, and increasing healthcare infrastructure development. Governments and private healthcare organizations are investing heavily in upgrading medical facilities, procuring advanced medical equipment, and training healthcare professionals to meet the growing demand for quality healthcare services. Advancements in medical technology, including endoscopic vessel harvesting systems, are fueling further investment in healthcare infrastructure and services. Healthcare providers are keen to adopt innovative medical devices that offer superior clinical outcomes, enhance patient experience, and optimize resource utilization. Endoscopic vessel harvesting systems, with their potential to streamline surgical procedures and improve patient outcomes, are thus becoming an integral part of modern cardiovascular surgery practices.

Key players in Global Endoscopic Vessel Harvesting Systems Market include:

• Getinge AB
• Terumo Corporation
• LivaNova PLC
• Medical Instruments Spa
• KARL STORZ SE & Co KG

In this report, the profile of each market player provides following information:

• Company Overview and Product Portfolio
• Key Developments
• Financial Overview
• Strategies
• Company SWOT Analysis