Prevalence of cardiovascular disorders has outgrown the demand for Coronary Artery Bypass Grafting (CABG) or bypass surgery. Coronary artery is the common conduit in bypass surgery. Endoscopic vessel harvesting system is minimally invasive saphenous vein harvesting technique.
What is EVH?
EVH is a surgical technique used in combination with bypass surgery. This surgery is suggested to the patients suffering from coronary artery disease. It redirects blood around the blocked arteries to restore and improve the blood flow. A surgeon needs to harvest healthy blood vessel from alternative part of the body.
Endoscopic vessel harvesting system uses minimally invasive instruments and telescopic camera to view, cut, and seal the side branches. It can remove the healthy blood vessel with minimum damage to it and the surrounding tissues. EVH system requires only a single incision about 2 cm to 3 cm to harvest the vein for the CABG surgery. This can reduce the duration of hospitalization, operative pain, and wound complication.
EVH Vs Conventional Procedures
While performing coronary bypass surgery, one or more healthy blood vessels are taken from the patient’s chest, arm or leg. This vessel is then used for bypass grafting. Open, bridging, and EVH are the three-primary vessel harvesting systems.
Open: In open procedure, one long incision is made from the ankle to groin. This procedure is highly invasive and can be more painful than the chest incision. It can also leave a long scar.
Bridging: This is another technique that is less invasive. In this process three or four small incisions are made to get to the saphenous vein.
EVH: Endoscopic vessel harvesting system uses a special instrument is minimally invasive and convenient. It is recommended immediately before CABG surgery. EVH system generally makes use of two vessels, namely, the greater saphenous vein from leg and radial artery that runs from wrist to the elbow.
Disposable EVH System
Recently, Maquet Holdings has developed a product called VASOVIEW 7, a seventh- generation disposable EVH device. This device offers flexibility and fineness to the surgeons. EVH systems dissection tip is designed for relaxed dissection that can create the tunnel and enables fine clarity. Closed system with C02 insufflations provides space in the tunnel for improved visibility. The use of open C02 infusion can lead to dramatic reductions in retained clots. Hence, continues monitoring is recommended for early detection of C02 embolism.
Market Insights
According to Grand View Research, Inc., the endoscopic vessel harvesting system market is set to achieve around USD 3.4 billion by 2025 at a CAGR of 6.1% from 2017 to 2025. Growing awareness about minimal invasive cardiac surgery can propel the market. Reusable and disposable are the two types of EVH system. Reusable system dominated the market in the past due to commercial availability and acceptance in bypass surgery. Disposable system has a better result and less chances of infection can drive the demand in the market.
The market has participants like Maquet Holding B.V & Co. KG; Saphena Medical Inc; Terumo Cardiovascular Group; LivaNova plc. (Sorin and Cyberonics); and Med Europe S.r.l. (Elite Life Care).
In-Depth research report on Endoscopic Vessel Harvesting System Market:
http://www.grandviewresearch.com/industry-analysis/endoscopic-vessel-harvesting-system-market
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