Endoscopic Vessel Harvesting Systems Market: Advancing Cardiovascular Surgery with AI Integration and Minimally Invasive Innovations

The endoscopic vessel harvesting system market is undergoing a transformative phase, with significant growth projections in the coming decade. Valued at USD 577.1 million in 2025, the market is poised to reach USD 949 million by 2035, expanding at a steady compound annual growth rate (CAGR) of 5.1%. This growth is fueled by the rising incidence of cardiovascular diseases, a growing preference for minimally invasive procedures, and continuous technological innovations.

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Market Dynamics and Growth Drivers

A key factor driving the adoption of EVH systems is the surge in coronary artery bypass grafting (CABG) surgeries. As heart disease becomes increasingly prevalent across global populations, the demand for effective and less invasive surgical interventions rises. Traditional open vessel harvesting techniques are being overshadowed by EVH systems, which offer lower risks of infection, reduced trauma, and quicker recovery times.

Hospitals are increasingly turning to EVH due to the enhanced patient safety it provides compared to open surgeries. The introduction of robot-assisted EVH systems, AI-enabled imaging tools, and superior endoscopic visualization is boosting the accuracy and success rates of procedures, all while fostering greater surgeon confidence. However, challenges like high device costs, the need for intensive training, and regulatory hurdles remain significant.

Regional Market Insights

United States remains a dominant market due to its high volume of CABG procedures and advanced healthcare infrastructure. According to the Centers for Disease Control and Prevention (CDC), heart disease causes nearly 695,000 deaths annually in the U.S., underlining the importance of effective surgical solutions. The nation’s healthcare system, bolstered by substantial expenditure, allows for the adoption of advanced technologies like EVH.

Similarly, Germany is witnessing an uptick in the EVH system market, propelled by its robust healthcare system and emphasis on patient care. India and Japan are emerging as strong players in the market, driven by increasing cardiovascular disease prevalence and rising healthcare infrastructure, while Brazil also shows promise due to its expanding private healthcare sector.

Key Technological Innovations: AI and Robotics

One of the most exciting developments in the EVH market is the integration of artificial intelligence (AI) and machine learning. AI-enhanced EVH systems have demonstrated the potential to significantly improve procedural efficiency. For instance, AI-guided systems can reduce the risk of vessel injury, lower thermal damage during surgery, and expedite recovery. A major highlight in this area is the use of augmented-reality visors, which overlay heat maps to guide surgeons during procedures.

Leading players like Getinge and Terumo are making strides in AI integration. Getinge’s Vasoview Hemopro series incorporates simultaneous cut-and-seal technology, while Terumo’s VirtuoSaph Plus is designed to enhance visualization and simplify vein harvesting. These advancements are not just improving outcomes but are also making the training process easier, allowing for a smoother adoption of EVH systems.

Disposable Systems: Dominating the Market

The disposable segment is expected to maintain its dominance in the EVH market, capturing 65% of the market share. Disposable devices are preferred due to their reduced risk of infection and ease of use. In particular, hospitals are increasingly adopting these single-use systems as they ensure sterility and minimize the need for device reprocessing, aligning with stringent hospital hygiene standards.

The rise in CABG surgeries is further fueling the demand for these disposable devices. As a result, manufacturers are focused on developing cost-effective, ergonomic, and easy-to-use disposable systems, which are expected to retain their market-leading position in the coming years.

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Challenges in EVH Adoption

Despite the promising outlook, several hurdles remain for the widespread adoption of EVH technology. Chief among them are the high upfront costs associated with these systems, as well as the time required for surgeons to master the technology. Additionally, concerns over the long-term graft patency and the need for advanced training are slowing market uptake in certain regions.

Regulatory challenges, particularly in emerging markets, further complicate adoption. While the demand for EVH systems is strong in developed countries, the slow regulatory approval process in developing regions and the lack of familiarity with the technology are factors inhibiting faster market penetration.

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