Global Endoscopic Vessel Harvesting System Market to Reach USD 949 Million by 2035 Driven by AI Integration and Minimally Invasive Cardiac Surgery Demand

The global endoscopic vessel harvesting (EVH) system market is forecast to grow from USD 577.1 million in 2025 to USD 949 million by 2035, expanding at a compound annual growth rate (CAGR) of 5.1%, according to the latest industry data.

Rising incidences of cardiovascular diseases and the rapid shift toward minimally invasive coronary artery bypass grafting (CABG) are driving robust global adoption of EVH systems. By reducing surgical trauma and infection risks, these systems are improving recovery times and long-term outcomes in cardiac care worldwide.

EVH Systems Transforming Cardiac Surgery Efficiency

EVH systems have become the preferred technique in CABG, replacing open harvesting procedures across hospitals in North America, Europe, and Asia-Pacific.

The United States and Germany remain the largest markets due to high CABG volumes and advanced healthcare infrastructure. Meanwhile, Japan and India are accelerating adoption amid rising cardiac disease prevalence and expanded surgical capacity.

“AI-assisted and minimally invasive vessel harvesting represents a major leap toward safer, faster, and more patient-friendly cardiac surgery,” said a spokesperson for Future Health Analytics. “The integration of robotics and data-driven visualization is redefining the precision of coronary bypass procedures.”

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Growth Drivers

• Cardiovascular Disease Burden:
• With over 695,000 annual heart disease deaths in the U.S. (CDC, 2024), demand for CABG surgeries continues to rise globally.
• Preference for Minimally Invasive Procedures:
• EVH systems reduce post-surgical complications and recovery times compared to open vessel harvesting, making them the standard of care in leading hospitals.
• AI and Robotics Integration:
• Emerging AI-guided EVH systems reduce vessel trauma by 10–30% and shorten harvest times by up to 25%.
• Aging Population and Healthcare Investment:
• Developed nations are experiencing a rise in cardiac surgeries due to aging demographics, while emerging economies expand access to advanced surgical technologies.

Technology Spotlight: AI-Powered EVH Systems

AI and machine learning are revolutionizing endoscopic harvesting procedures through:

• Real-time image segmentation that isolates vessel walls from fascia.
• Machine-learning–controlled RF modulation to prevent thermal necrosis.
• Sensor-rich handpieces collecting motion and torque data for analytics.
• Augmented reality visors displaying heat maps of branch points to guide cauterization.

“These innovations improve surgeon accuracy while lowering training barriers,” noted Dr. Karin Weiss, a cardiovascular technology researcher. “AI-enabled EVH systems are turning complex procedures into standardized, data-supported operations.”

Market Segmentation Overview

By Product Type:

Disposable EVH Systems (65% share) – favored for infection control, sterility, and ease of use.

Reusable Systems – preferred in cost-sensitive settings but facing stricter hygiene regulations.

By Vessel Type:

Saphenous Vein (70% share) – remains the gold standard for CABG procedures.

Radial Artery & Others – niche use in specialized bypass surgeries.

By Application:

Coronary Artery Bypass Grafting (CABG) – largest segment.

Peripheral Artery Disease (PAD) Surgery – emerging use case.

Regional Insights

• United States (2.1% CAGR): Driven by high cardiac surgery rates, aging population, and expanding robotic surgery programs.
• Germany (3.8% CAGR): Adoption supported by advanced hospital infrastructure and surgeon proficiency in minimally invasive methods.
• India (3.9% CAGR): Accelerating due to healthcare modernization, medical tourism, and teletraining of cardiac surgeons.
• Japan (4.6% CAGR): Leadership in surgical robotics and precision imaging integration.
• Brazil (3.5% CAGR): Expanding cardiovascular surgery infrastructure and public-private hospital partnerships.

Competitive Landscape

The global EVH market is moderately consolidated, with top five companies controlling over 70% of total share. Leading manufacturers are leveraging automation, AI, and ergonomic design to enhance procedural efficiency and safety.

Key Players Include:

• Getinge AB (24.6%) – Vasoview Hemopro line with simultaneous cut-and-seal technology and FDA-approved Hemopro 3.
• Terumo Corporation (18.5%) – VirtuoSaph Plus system emphasizing intuitive use and clinician training excellence.
• LivaNova PLC (13.5%) – Ergonomically optimized EVH systems for improved surgical workflow.
• KARL STORZ SE & Co. (9.6%) – Precision-engineered endoscopes for vascular harvesting.
• Saphena Medical Inc. (7.5%) – Simplified single-use EVH systems for reduced operative time.

Emerging participants—such as Cardio Medical GmbH, Med Europe S.r.l., and Medical Instruments SpA—are increasing competition through localized production and cost-efficient design.

Future Outlook: From Automation to Accessibility

The next decade will see EVH systems evolve into AI-integrated, telemedicine-compatible surgical ecosystems, enabling remote surgeon training and real-time performance analytics. Biodegradable and “green surgery” components will gain traction, aligning with value-based healthcare and sustainability mandates.

“By 2035, EVH systems will represent the fusion of precision engineering, artificial intelligence, and clinical accessibility,” concluded Dr. Weiss. “Their role will expand far beyond harvesting—it will redefine the future of cardiac surgery efficiency and patient safety.”

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