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.

EVH Systems
Endoscopic Vessel Harvesting (EVH) systems lead the global market, comprising about 54% of total revenue. These systems allow for the minimally invasive retrieval of vessels like the saphenous vein, significantly reducing surgical trauma compared to open techniques. Hospitals and cardiac centers prefer EVH systems for their ability to improve patient outcomes, reduce postoperative infections, and accelerate recovery, especially in CABG procedures.

Endoscopes
Endoscopes, accounting for roughly 28%, are vital tools within EVH procedures, offering clear and magnified visualization of target vessels. Technological advancements in camera resolution, illumination, and durability are expanding their application in vascular and hybrid cardiac surgeries. Endoscopes play a critical role in ensuring precise dissection and vessel integrity during harvesting.

Accessories
EVH accessories make up about 18% of the market. This segment includes a variety of supportive instruments such as dilators, clippers, and vessel sealing tools. The need for disposable and reusable accessories is growing, driven by demand for sterile, efficient workflows and cost-effective solutions in both developed and emerging healthcare settings.

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.

Saphenous Vein
Saphenous vein harvesting accounts for nearly 72% of the global EVH systems market. Widely used in CABG surgeries, the saphenous vein remains the most harvested vessel due to its suitability for bypass, consistent anatomy, and favorable handling characteristics. Endoscopic harvesting techniques have replaced open methods in most cardiac centers, helping reduce leg wound complications, hospital stays, and rehabilitation periods.

Radial Artery
Radial artery harvesting comprises about 28% of the market. Known for its high patency rates and resistance to atherosclerosis, the radial artery is increasingly used for grafting in multi-vessel coronary disease. Endoscopic harvesting improves cosmetic outcomes and reduces forearm morbidity, making it a preferred option for younger, low-risk patients. Surgeons are increasingly integrating radial EVH techniques into hybrid and robotic CABG procedures.

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.

Closed Tunnel Harvesting
Closed tunnel harvesting is the most commonly used technique in the global EVH systems market, with an estimated 64% market share. This approach uses CO₂ insufflation to create a clear, stable working space, enabling precise dissection and minimizing trauma to surrounding tissues. Surgeons prefer this method for its ability to reduce wound complications, enhance procedural visibility, and improve postoperative recovery, particularly in high-volume cardiac centers.

Open Tunnel Harvesting
Open tunnel harvesting comprises about 36% of the market and is typically used when closed tunnel access is not feasible. It involves manual dissection without insufflation, and while it may present challenges with tissue exposure and hemostasis, it remains useful in certain anatomical or clinical scenarios. The technique is increasingly supported by refined tools and surgeon training, especially in cost-sensitive healthcare environments.

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).

Coronary Artery Disease (CAD)
Coronary artery disease (CAD) dominates the global endoscopic vessel harvesting systems market, capturing nearly 87% of total applications. EVH is a standard technique in coronary artery bypass graft (CABG) surgery, enabling surgeons to harvest the saphenous vein or radial artery with minimal trauma. The method is favored for reducing postoperative infections, enhancing cosmetic results, and accelerating patient recovery, particularly in high-risk cardiac patients.

Peripheral Artery Disease (PAD)
Peripheral artery disease (PAD) accounts for approximately 13% of the market. In PAD-related surgeries, EVH is employed to harvest autologous grafts for bypass procedures in the lower limbs, often in patients with critical limb ischemia. The rising global burden of PAD, especially in regions with aging populations and increasing diabetes prevalence, is driving demand for less invasive, limb-sparing interventions.

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 & Africa and Latin America.

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

North America
North America dominates the global EVH systems market with a market share of around 43%. The region benefits from a high frequency of CABG procedures, well-established cardiac surgical infrastructure, and the presence of leading EVH manufacturers. Favorable insurance coverage and early adoption of minimally invasive vessel harvesting technologies contribute to consistent market leadership.

Europe
Europe holds about 26% of the market, driven by strong demand for minimally invasive cardiac interventions. Key countries such as Germany, France, and the UK have integrated EVH techniques into routine cardiac practice, supported by clinical training programs and national cardiovascular surgery standards. This region continues to invest in advanced surgical equipment for enhanced recovery outcomes.

Asia Pacific
Asia Pacific, accounting for roughly 20%, is witnessing rapid market growth due to a rising burden of cardiovascular diseases, increasing number of CABG surgeries, and improved access to high-quality hospital care. Major healthcare markets like China, India, and Japan are leading the way in technology adoption and surgeon training for EVH.

Middle East & Africa
Middle East & Africa comprise about 6% of the global EVH systems market. With increasing healthcare investments and a shift toward modern surgical techniques, the region is seeing growing adoption in specialized cardiovascular centers. Government support and public health initiatives are enhancing patient access to minimally invasive procedures.

Latin America
Latin America contributes roughly 5% to the market. Brazil and Mexico are at the forefront of EVH adoption in the region, supported by an expanding network of public-private cardiac centers. Although the market is still in early stages, growing awareness of wound healing benefits and reduced hospital stays is encouraging wider use of EVH systems.

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

• Rising Demand For Coronary Artery Bypass Grafting
• Increased Focus On Reducing Surgical Complications

• Growing Preference For Minimally Invasive Graft Harvesting - The global endoscopic vessel harvesting (EVH) systems market is expanding due to the growing preference for minimally invasive graft harvesting techniques. Compared to traditional open procedures, EVH methods offer reduced postoperative pain, fewer infections, and shorter recovery times. These benefits align with patient and healthcare provider demands for more efficient and less traumatic surgical solutions.

  EVH systems allow surgeons to harvest veins through small incisions, leading to improved cosmetic outcomes and fewer wound-related complications. This is especially advantageous in patients with comorbidities such as diabetes or obesity. The reduced length of hospital stay and quicker patient recovery further reinforce the value of these systems in clinical practice.

  Technological advancements have also contributed to the adoption of EVH tools by enhancing surgeon control, precision, and visual clarity. These improvements have increased confidence in their use, even in complex surgical cases. Hospitals are gradually standardizing EVH systems in coronary artery bypass graft (CABG) procedures to improve long-term outcomes. As the trend toward minimally invasive surgeries continues, the demand for endoscopic vessel harvesting systems is expected to increase. Their role in improving surgical efficiency and patient satisfaction makes them essential tools in modern cardiovascular care.

Restraints

• High Cost Of Vessel Harvesting Equipment
• Steep Learning Curve For New Surgeons

• Risk Of Vessel Damage During Procedures - One major challenge in the EVH systems market is the risk of vessel damage during procedures. Despite the benefits of minimally invasive techniques, harvesting veins with endoscopic tools requires high precision and technical skill. Improper handling can lead to complications such as vessel trauma or reduced graft patency. Surgeons with limited experience may struggle with the complexities of navigating anatomical variations or dense tissues, increasing the likelihood of procedural errors. This learning curve can deter hospitals from adopting EVH systems widely, especially in facilities with limited training support or lower surgical volumes.

  Some clinicians still question the long-term viability of endoscopically harvested veins in high-risk cardiac surgeries. The fear of technical failure or reduced durability can drive preferences for conventional open harvesting techniques, even in modern surgical settings. To overcome this barrier, the market must prioritize investments in training, intuitive device design, and standardized procedural protocols. These efforts will be key to reducing complication rates and building clinical trust in EVH technology.

Opportunities

• Expansion In Cardiac Specialty And Hybrid Centers
• Development Of User-Friendly Disposable EVH Tools

• Adoption In Emerging Cardiovascular Treatment Markets - An important growth opportunity for the EVH systems market lies in their adoption within emerging cardiovascular treatment markets. As healthcare infrastructure develops in regions such as Asia-Pacific, Latin America, and the Middle East, there is increasing demand for less invasive, patient-friendly surgical solutions. Rising cardiovascular disease rates in these regions are prompting government and private investments in modern cardiac surgery tools. EVH systems, with their ability to minimize surgical trauma and accelerate recovery, are becoming valuable additions to hospital surgical portfolios in both public and private healthcare institutions.

  Efforts such as cross-border training programs and remote mentoring are helping to bridge the skills gap, enabling more surgeons to adopt and master EVH technologies. These initiatives are laying a foundation for sustainable long-term use of endoscopic harvesting methods across diverse healthcare environments. As access to cardiac care improves, EVH systems are well-positioned to become standard tools in surgical centers globally. Their relevance in improving outcomes and expanding procedural access makes them a key driver of market expansion.

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
• Market Share Analysis
• Key Developments
• Financial Overview
• Strategies
• Company SWOT Analysis