Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market Growth, Share, Size, Trends and Forecast (2025 - 2031)

The Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market has been segmented by Material, Type, Anatomy Condition and Geography, material into polyester and ePTFE (expanded polytetrafluoroethylene). Polyester is widely used due to its durability, biocompatibility, and resistance to degradation, making it a preferred choice for stent graft construction. ePTFE offers flexibility and a smooth surface, enabling better adaptability to vascular anatomy, and is increasingly adopted in advanced stent graft designs.

By type, the market is categorized into bifurcated stent grafts, aorto-uni-iliac (AUI) stent grafts, and fenestrated stent grafts. Bifurcated stent grafts dominate the market due to their effectiveness in treating standard infrarenal AAA cases. Fenestrated stent grafts are gaining traction for their capability to address complex anatomies, including juxtarenal and suprarenal aneurysms, thereby expanding their application scope in challenging cases.

The segmentation by anatomy condition includes infrarenal and complex aneurysms. Infrarenal aneurysms represent the largest segment due to their higher prevalence, while the demand for repair devices for complex aneurysms is growing, supported by innovations in stent graft technology. Geographically, North America leads the market, driven by advanced healthcare systems and a higher prevalence of AAA. The Asia-Pacific region is anticipated to grow rapidly, fueled by an aging population and increasing awareness of endovascular repair procedures.

Global Endovascular Abdominal Aortic Aneurysm Repair Devices Segment Analysis

In this report, the Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market has been segmented by Material, Type, Anatomy Condition and Geography.

Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market, Segmentation by Material

The Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market has been segmented by Material into Polymer and Metal.

The Global Endovascular Abdominal Aortic Aneurysm (EVAR) Repair Devices Market is segmented by material into polymer and metal, each offering unique benefits and applications in aneurysm repair. Polymer-based EVAR devices, particularly those made from materials like polyethylene terephthalate (PET) or expanded polytetrafluoroethylene (ePTFE), are widely used due to their flexibility, durability, and compatibility with human tissues. These materials allow for better adaptation to the aortic anatomy, reducing the risk of complications such as endoleaks. Polymers are also resistant to corrosion and wear, ensuring long-term functionality and making them a preferred choice for grafts in minimally invasive EVAR procedures.

Metal-based EVAR devices, typically made from alloys like nitinol or stainless steel, are crucial for providing structural support and durability to the stent grafts. Metals are used in the stent framework, offering superior radial strength and ensuring the device remains securely anchored within the aorta. The shape-memory properties of nitinol, for instance, allow stents to expand and conform to the vascular anatomy upon deployment, enhancing procedural success rates. Metal components also improve the overall mechanical integrity of the device, making them ideal for high-risk patients with complex aneurysms.

The choice between polymer and metal-based EVAR devices often depends on the patient’s anatomy and the complexity of the aneurysm. Polymer grafts are favored for their versatility and ability to conform to irregular anatomies, while metal frameworks are essential for stability and strength. Geographically, North America and Europe dominate the market due to their advanced healthcare systems and widespread adoption of minimally invasive procedures. Meanwhile, the Asia-Pacific region is experiencing significant growth, driven by an increasing prevalence of abdominal aortic aneurysms, improving healthcare infrastructure, and growing awareness of endovascular repair techniques.

Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market, Segmentation by Type

The Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market has been segmented by Type into Endovascular Aortic Repair (EVAR), Open Surgical Repair, and Hybrid Repair.

The global endovascular abdominal aortic aneurysm repair devices market is segmented by type into Endovascular Aortic Repair (EVAR), Open Surgical Repair, and Hybrid Repair. EVAR dominates the market due to its minimally invasive nature, shorter recovery time, and reduced perioperative risks compared to open surgical procedures. The growing preference for EVAR among patients and healthcare providers is further fueled by advancements in stent graft technologies and imaging systems that enhance procedural success.

Open Surgical Repair remains a significant segment, particularly in cases where anatomical conditions or other factors make EVAR unsuitable. This traditional method is often preferred for complex aneurysms and patients with unfavorable vascular anatomy. Despite the decline in its usage due to the rise of EVAR, open surgical repair continues to be a critical option in specific clinical scenarios, supported by its proven long-term efficacy.

Hybrid Repair, which combines open surgical and endovascular approaches, is gaining traction for its ability to address complex cases such as thoracoabdominal aneurysms or when both proximal and distal extensions are required. This segment is expected to grow as technological advancements and surgical expertise expand the applicability of hybrid techniques. Geographically, North America and Europe lead in the adoption of EVAR, while emerging markets in Asia-Pacific are witnessing increased demand across all repair types due to improving healthcare infrastructure and growing awareness.

Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market, Segmentation by Anatomy Condition

The Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market has been segmented by Anatomy Condition into Neck lengths 10mm and Neck lengths Less than 10mm.

The global Endovascular Abdominal Aortic Aneurysm (AAA) repair devices market is segmented by anatomy condition into two primary categories: neck lengths of 10 mm or more, and neck lengths of less than 10mm. These categories are based on the length and condition of the aneurysm’s neck, which is the segment of the aorta adjacent to the aneurysm. The neck length plays a crucial role in determining the suitability of endovascular aneurysm repair (EVAR) devices, as the neck must provide a stable anchoring point for the stent graft to effectively secure the device in place. The neck length can influence the complexity of the procedure and the selection of appropriate stent grafts for optimal results.

The segment with neck lengths of 10mm or more is the larger and more established category, as patients with longer necks generally have a higher success rate with standard EVAR procedures. These patients often have a more favorable anatomical structure, which makes it easier for the stent graft to be deployed securely, reducing the risk of complications. As a result, the demand for EVAR devices in this category has been high, with hospitals and healthcare providers increasingly favoring minimally invasive options for treating AAA with longer necks. Technological advancements in stent graft designs, such as improved conformability and fixation mechanisms, have further boosted the success rates of EVAR for patients with longer necks.

On the other hand, the segment with neck lengths of less than 10mm presents a more challenging scenario. Short necks can make it difficult for stent grafts to anchor securely, increasing the risk of device migration or endoleaks, which can lead to treatment failure. To address this, specialized devices designed for short-neck aneurysms, such as those with proximal extensions or anchoring mechanisms, have been developed. While this segment comprises a smaller portion of the market, the demand for devices tailored to short-neck aneurysms has been growing due to the increasing recognition of AAA's complex anatomical variations. As healthcare systems and device manufacturers continue to innovate, the treatment options for short-neck AAA patients are improving, leading to an expanding market for these specialized endovascular repair devices.

Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market, Segmentation by Geography

In this report, the Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East and Africa and Latin America.

Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market Share (%), by Geographical Region, 2024

This dominance is driven by the presence of advanced healthcare infrastructure, a high prevalence of cardiovascular diseases, and significant investments in research and development. The United States, in particular, is a major contributor to the North American market, with the increasing adoption of minimally invasive procedures like endovascular aneurysm repair (EVAR), a growing elderly population, and the widespread use of stent graft technologies. The region also benefits from favorable reimbursement policies, which encourage the use of advanced medical devices for AAA treatment.

The European market is characterized by a high number of cases of abdominal aortic aneurysms, with countries like Germany, the UK, France, and Italy playing a significant role in market growth. The region’s advanced healthcare system, well-established medical device regulations, and increasing demand for minimally invasive surgical options drive the adoption of endovascular devices. The market is also supported by ongoing government initiatives aimed at improving healthcare infrastructure and providing access to innovative treatments. Despite a relatively stable growth rate in Western Europe, Eastern European countries are showing signs of increased demand as healthcare standards and access to cutting-edge procedures improve.

Asia-Pacific is the fastest-growing region in the global endovascular AAA repair devices market. This growth is fueled by rapid urbanization, increasing healthcare investments, and a growing aging population in countries such as China, India, and Japan. As awareness of AAA increases and healthcare access improves, particularly in emerging markets, the demand for EVAR devices is expanding. The rise of medical tourism in countries like India and South Korea also contributes to the market’s growth, as patients from neighboring regions seek advanced endovascular procedures. While the market share of Latin America and the Middle East and Africa remains smaller, these regions are witnessing gradual growth, driven by improving healthcare infrastructure and rising adoption of minimally invasive surgeries.

This report provides an in depth analysis of various factors that impact the dynamics of Global Endovascular Abdominal Aortic Aneurysm Repair Devices Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.

Drivers, Restraints and Opportunity Analysis

Drivers

• Increasing Incidence of Abdominal Aortic Aneurysms
• Advancements in Endovascular Aneurysm Repair (EVAR) Technology
• Rising Geriatric Population
• Increasing Awareness and Early Diagnosis

  The increasing awareness and early diagnosis of Abdominal Aortic Aneurysms (AAA) play a crucial role in the growth of the global endovascular abdominal aortic aneurysm (AAA) repair devices market. As more people become informed about the risks of AAA, especially in high-risk populations such as older adults and individuals with a family history of cardiovascular diseases, there is a greater emphasis on preventive healthcare measures. Public health campaigns, along with increased access to diagnostic technologies such as ultrasound and CT scans, are helping detect AAAs at an earlier stage. This leads to improved patient outcomes by enabling timely intervention, driving demand for advanced repair devices.

  Early diagnosis, in particular, is significantly reducing the risk of rupture, one of the leading causes of mortality associated with AAAs. With advancements in imaging techniques, healthcare providers are now better equipped to detect the condition even in asymptomatic patients. This shift toward preventive measures is fostering a more proactive approach to AAA management, resulting in higher adoption of endovascular repair technologies. As more patients are diagnosed early, the need for minimally invasive repair solutions, such as stent grafts used in endovascular aneurysm repair (EVAR), has grown rapidly.

  The rise in awareness about the benefits of early intervention is influencing both patients and healthcare professionals to opt for less invasive procedures. EVAR, which offers shorter recovery times, fewer complications, and faster rehabilitation compared to traditional open surgery, is becoming the preferred choice for treating AAAs. With more people seeking early diagnosis, the global market for endovascular AAA repair devices is expected to expand as the demand for safe and effective treatment options continues to rise. This trend is likely to continue as healthcare systems worldwide focus more on preventive care and early detection strategies.

Restraints

• High Cost of Endovascular Aneurysm Repair Devices
• Risk of Complications and Re-intervention
• Limited Reimbursement Policies in Some Regions
• Technical Challenges in Device Implantation

  The implantation of endovascular abdominal aortic aneurysm (AAA) repair devices presents several technical challenges that can impact the effectiveness and outcomes of the procedure. One of the primary challenges is the complexity of the anatomy of the aorta, which can vary significantly between patients. The shape and size of the aneurysm, as well as the tortuosity of the blood vessels, can make it difficult to properly position the stent graft during the endovascular procedure. In some cases, this anatomical variability can require custom-made devices, which can increase both the complexity and cost of the procedure.

  Another significant challenge is ensuring a secure and durable seal between the stent graft and the aorta. A proper seal is essential to prevent endoleaks, which occur when blood leaks into the aneurysm sac after implantation. Endoleaks can lead to complications such as continued aneurysm growth, rupture, or the need for re-intervention. Achieving an optimal seal can be difficult due to factors such as vessel wall calcification, tortuous arteries, or inadequate landing zones for the stent grafts. These challenges require advanced imaging techniques, careful preoperative planning, and precise intraoperative navigation to minimize the risk of complications.

  The implantation process itself can be technically demanding, requiring highly specialized skills and experience from the surgical team. The procedure is often performed through a minimally invasive approach, but it still involves significant risks, including vascular injury, bleeding, and device malposition. The need for real-time imaging guidance, such as fluoroscopy or intravascular ultrasound, adds to the complexity of the procedure. While the advent of more sophisticated endovascular devices has made these procedures safer, the technical difficulties involved in the precise implantation of these devices remain a significant challenge in the field of AAA repair.

Opportunities

• Technological Advancements in AAA Repair Devices
• Expansion of Market in Emerging Economies
• Development of Next-Generation Devices
• Collaboration with Research Institutions for Innovation

  Collaboration with research institutions plays a pivotal role in driving innovation within the global endovascular abdominal aortic aneurysm (AAA) repair devices market. Research partnerships enable the development of new technologies, improved materials, and advanced techniques that address the limitations of current devices. By combining the expertise of academic researchers, medical professionals, and device manufacturers, these collaborations foster the creation of more effective, reliable, and patient-friendly solutions. Research institutions often serve as testing grounds for new concepts, enabling the development of cutting-edge stent graft designs that offer enhanced durability, flexibility, and reduced risk of complications.

  One area of focus in these collaborations is the development of personalized and customized devices that can better accommodate the unique anatomical challenges presented by individual patients. Advances in 3D imaging, computer modeling, and simulations have made it possible to design tailor-made stent grafts that fit the specific shape and size of a patient’s aorta, improving both the precision of device placement and the long-term effectiveness of the treatment. By collaborating with research institutions, device manufacturers can leverage these innovations to create highly specialized products that provide optimal outcomes, reducing the need for additional interventions and improving the overall success rate of endovascular AAA repairs.

  These collaborations often lead to breakthroughs in biomaterials and drug-eluting technologies that can improve the longevity and biocompatibility of endovascular devices. Researchers are exploring the use of advanced coatings, such as those that release therapeutic agents, to reduce inflammation, prevent graft infections, and promote endothelial healing. By partnering with academic and clinical research institutions, device manufacturers are able to stay at the forefront of these technological advancements. This continuous cycle of innovation, fueled by academic collaboration, ensures that the endovascular AAA repair devices market can meet the growing demand for safer, more efficient, and minimally invasive treatment options.