Abdominal Aortic Aneurysm (AAA) Repair Devices - Market Insights, Competitive Landscape, and Market Forecast - 2032

Abdominal Aortic Aneurysm (AAA) Repair Devices Market Summary

• The global abdominal aortic aneurysm repair devices market is expected to increase from USD 2,798.75 million in 2024 to USD 4,335.97 million by 2032, reflecting strong and sustained growth.
• The global abdominal aortic aneurysm repair devices market is growing at a CAGR of 5.70% during the forecast period from 2025 to 2032.
• The global abdominal aortic aneurysm repair devices market is driven by the rising prevalence of aneurysms linked to aging and lifestyle risk factors, a strong shift toward minimally invasive EVAR procedures, and continuous technological innovations that enhance safety, precision, and long-term outcomes. Together, these factors are expanding patient adoption and boosting global market growth.
• The leading companies operating in the abdominal aortic aneurysm (AAA) repair devices market include Cook, Medtronic, W. L. Gore & Associates, Inc., Cardinal Health, MicroPort Scientific Corporation, Terumo Corporation, Lombard Medical, Artivion, Inc., Endospan, Boston Scientific Corporation, Endologix LLC., and others.
• The North America abdominal aortic aneurysm repair devices market is propelled by the rising incidence of abdominal aortic aneurysms and associated risk factors, alongside a growing preference for minimally invasive procedures, collectively reinforcing the region's strong and leading position in the global market.
• In the type segment of the abdominal aortic aneurysm (AAA) repair devices market, the endovascular aneurysm repair category is estimated to account for the largest market share in 2024.

Factors Contributing to the Growth of the Abdominal Aortic Aneurysm (AAA) Repair Devices Market

• Increasing instances of abdominal aortic aneurysms globally and their associated risk factors are leading to a surge in the abdominal aortic aneurysm repair devices market: The growing prevalence of abdominal aortic aneurysms worldwide is a major driver of market growth. Factors such as aging populations, rising cases of hypertension, smoking habits, high cholesterol, obesity, and atherosclerosis significantly increase the risk of developing AAAs. Men over the age of 65 are particularly vulnerable, making demographic shifts a strong contributor to the expanding patient pool. With greater awareness and screening programs, more aneurysms are being detected at earlier stages, leading to higher demand for repair devices and interventions.
• Rising preference for minimally invasive procedures: There is a clear shift from traditional open surgical repair toward minimally invasive approaches, particularly endovascular aneurysm repair (EVAR). EVAR procedures offer multiple advantages, including reduced perioperative risks, shorter hospital stays, quicker recovery times, and improved patient comfort. These benefits make the procedure highly attractive, especially for elderly patients and those with comorbidities who are at higher risk during open surgery. This growing preference for minimally invasive options is driving significant adoption of stent graft devices across healthcare systems worldwide.
• Growing technological advancement: Continuous technological innovation in AAA repair devices has transformed treatment outcomes and expanded eligibility for complex cases. Developments such as fenestrated and branched stent grafts, polymer sealing systems, advanced delivery catheters, and 3D imaging-guided graft customization allow physicians to treat patients with challenging anatomies more effectively. Furthermore, ongoing research into bioresorbable materials and smart sensor-enabled devices promises to reduce complications and long-term follow-up needs. These advancements are not only improving clinical results but also boosting physician confidence and patient acceptance, creating a strong growth momentum in the market.

Abdominal Aortic Aneurysm (AAA) Repair Devices Market Report Segmentation

This Abdominal Aortic Aneurysm (AAA) Repair Devices market report offers a comprehensive overview of the global Abdominal Aortic Aneurysm (AAA) Repair Devices market, highlighting key trends, growth drivers, challenges, and opportunities. It covers detailed market segmentation of Abdominal Aortic Aneurysm (AAA) Repair Devices Market by Type (Open Surgical Repair Devices and Endovascular Aneurysm Repair), End-User (Hospitals, Ambulatory Surgical Centers, and others), and Geography. The report provides valuable insights into the competitive landscape, regulatory environment, and market dynamics across major markets, including North America, Europe, and Asia-Pacific. Featuring in-depth profiles of leading industry players and recent product innovations, this report equips businesses with essential data to identify market potential, develop strategic plans, and capitalize on emerging opportunities in the rapidly growing Abdominal Aortic Aneurysm (AAA) Repair Devices market.

Abdominal Aortic Aneurysm (AAA) Repair Devices are used to treat the weakening and bulging of the abdominal aorta, preventing life-threatening rupture. These devices include endovascular aneurysm repair (EVAR) stent grafts, which are minimally invasive and now the preferred option, and open surgical grafts made of durable materials like Dacron or ePTFE. EVAR devices, including fenestrated and branched stent grafts, dominate due to shorter recovery times and reduced surgical risks, though they require long-term monitoring.

The Abdominal Aortic Aneurysm (AAA) Repair Devices market is poised for strong growth, fueled by a combination of rising disease burden, changing treatment preferences, and rapid innovation. The increasing prevalence of AAAs worldwide, driven by risk factors such as aging populations, hypertension, smoking, and atherosclerosis, is significantly expanding the patient pool in need of timely intervention. At the same time, the growing preference for minimally invasive procedures, particularly endovascular aneurysm repair (EVAR), is accelerating adoption as patients and physicians favor shorter recovery times, reduced surgical risks, and improved overall outcomes compared to traditional open surgery. Complementing these trends, continuous technological advancements, including fenestrated and branched stent grafts, polymer sealing systems, and AI or imaging-guided customization, are broadening treatment eligibility, enhancing precision, and improving long-term results. Together, these drivers are not only improving patient safety and treatment success but also strengthening confidence in AAA repair devices, thereby boosting market expansion on a global scale.

What are the latest Abdominal Aortic Aneurysm (AAA) Repair Devices Market Dynamics and Trends?

The abdominal aortic aneurysm repair devices market is experiencing robust growth, driven primarily by the increasing prevalence of aneurysms among aging populations and the rising adoption of minimally invasive endovascular aneurysm repair (EVAR). EVAR has emerged as the preferred treatment approach due to its lower surgical risks, shorter recovery times, and expanding applicability across a wide range of patient profiles.

According to DelveInsight analysis 2025, a one-time abdominal ultrasound screening is generally recommended for men aged 65 to 75 with a history of smoking, as they are at heightened risk of developing an AAA. In contrast, the prevalence among females remains considerably lower, ranging from 0.6% to 1.4%, highlighting a significant gender disparity. In the United Kingdom, aneurysm rupture occurs at a rate of approximately 13 cases per 100,000 individuals, underscoring the seriousness of untreated cases. In Japan, symptomatic AAA affects roughly 12% of individuals over 50, with men being disproportionately affected. The risk of AAA increases substantially after the age of 60, peaking during the seventh and eighth decades of life. Reflecting the global burden, the diagnosed AAA population across the seven major markets (7MM) was estimated at around 1,641,380 cases in 2021, emphasizing the critical need for timely diagnosis and effective interventions.

A key trend driving market evolution is the growing adoption of advanced technologies, such as fenestrated and branched stent grafts, which allow the treatment of complex anatomies and expand the pool of patients eligible for repair. Simultaneously, innovations in implantable sensors and pressure-monitoring systems are enhancing post-procedural surveillance by facilitating early detection of complications such as endoleaks, thereby reducing reliance on frequent imaging. Moreover, the integration of 3D printing and AI-driven imaging for preoperative planning is enabling highly customized device designs, improving procedural accuracy, and boosting physician confidence.

Together, these dynamics are transforming the competitive landscape, improving clinical outcomes, and driving accelerated expansion of the AAA repair devices market on a global scale.

Although the adoption of abdominal aortic aneurysm repair devices is increasing, the market continues to face critical restraints that may slow its growth. One of the primary concerns is the occurrence of device-related complications such as endoleaks, graft migration, thrombosis, and potential device failure, which can result in the need for reintervention and place an additional burden on patients. Furthermore, the stringent regulatory approval process for these devices presents significant challenges for manufacturers, often causing delays in product commercialization and limiting the swift integration of new technologies. Collectively, these factors pose barriers to wider market penetration, shaping clinical decision-making and impacting the overall competitive landscape of AAA repair devices.

Abdominal Aortic Aneurysm (AAA) Repair Devices Market Segment Analysis

Abdominal Aortic Aneurysm (AAA) Repair Devices Market by Type (Open Surgical Repair Devices and Endovascular Aneurysm Repair), End-User (Hospitals, Ambulatory Surgical Centers, and others), and Geography (North America, Europe, Asia-Pacific, and Rest of the World)

By Type: Endovascular Aneurysm Repair Dominates the Market

The endovascular aneurysm repair category is the dominant force in the abdominal aortic aneurysm repair devices market. In 2024, endovascular aneurysm repair accounted for a significant share of approximately 75%. This dominance is driven by EVAR's minimally invasive approach, superior safety profile, and broad clinical applicability. Unlike traditional open surgical repair, EVAR involves the placement of a stent graft through small incisions, substantially reducing perioperative risks, shortening hospital stays, and enabling faster patient recovery. These benefits make EVAR the preferred treatment option for elderly patients and those with comorbidities, who are more susceptible to complications from open surgery.

EVAR's market leadership is further strengthened by ongoing technological innovations, including fenestrated and branched stent grafts that enable treatment of complex anatomies near renal and visceral arteries, and polymer-sealing devices that enhance graft fixation while minimizing the risk of endoleaks. Key products driving this segment include Medtronic's Endurant II Stent Graft, W. L. Gore & Associates' Excluder AAA Endoprosthesis, and Cook Medical's Zenith Flex AAA Endovascular Graft, each recognized for its procedural efficiency, durability, and favorable clinical outcomes.

The combination of minimally invasive benefits, advanced device technology, growing physician confidence, and increasing patient preference collectively positions EVAR as the dominant and fastest-growing segment in the global AAA repair devices market, underscoring its pivotal role in shaping the industry's future.

By End-User: Hospital Dominates the Market

Hospitals represent the largest and most critical end-user segment for abdominal aortic aneurysm (AAA) repair devices, as they provide the infrastructure, skilled personnel, and advanced surgical facilities required for both open surgical repair (OSR) and endovascular aneurysm repair (EVAR) procedures. The choice between OSR and EVAR largely depends on patient-specific factors, anatomical complexity, and physician expertise. While OSR remains the standard for patients with complex aneurysms unsuitable for minimally invasive techniques, it involves larger incisions, longer operative times, and extended recovery periods. In contrast, EVAR has gained widespread adoption in hospitals due to its minimally invasive approach, reduced perioperative risks, shorter hospital stays, and faster patient recovery, making it particularly suitable for elderly patients and those with comorbidities.

Hospitals are increasingly investing in advanced endovascular suites, imaging technologies, and specialized training to support the growing demand for EVAR procedures. Leading stent graft systems such as Medtronic's Endurant II, Gore's Excluder AAA Endoprosthesis, and Cook Medical's Zenith Flex Endovascular Graft have become integral to hospital AAA treatment programs, enabling high procedural success rates and improved patient outcomes.

Thus, the rising preference for EVAR, combined with hospitals' capability to offer comprehensive AAA management, reinforces the hospital segment as a key driver of market growth and technological adoption in the global AAA repair devices landscape.

Abdominal Aortic Aneurysm (AAA) Repair Devices Market Regional Analysis

North America Abdominal Aortic Aneurysm (AAA) Repair Devices Market Trends

North America, led by the United States, dominates the global abdominal aortic aneurysm repair devices market, accounting for approximately 41% of the total market share in 2024. The North America Abdominal Aortic Aneurysm (AAA) Repair Devices market is experiencing robust growth, fueled by the rising incidence of abdominal aortic aneurysms and the prevalence of key risk factors, including aging populations, hypertension, smoking, obesity, and atherosclerosis.

According to DelveInsight analysis 2024, the total diagnosed prevalent population of AAA in the United States was estimated at 752,408 cases in 2021, the highest among all seven major markets (7MM), with a reported aneurysm rupture frequency of approximately 4.4 cases per 100,000 individuals.

A growing preference for minimally invasive procedures, particularly endovascular aneurysm repair (EVAR), is further propelling market expansion, as EVAR offers lower surgical risks, reduced hospital stays, and faster recovery compared to traditional open surgical repair.

Continuous technological advancements, including fenestrated and branched stent grafts, polymer-sealing systems, and AI-assisted preoperative planning, are enhancing procedural precision, improving patient outcomes, and broadening the treatable patient population. Coupled with increasing awareness, organized screening programs, and the widespread adoption of advanced EVAR technologies in hospitals and specialized vascular centers, these factors firmly position North America as a leading market for AAA repair devices and reinforce its dominance in the global landscape.

The combined effect of a high patient pool, rising prevalence of AAA-related risk factors, and strong adoption of cutting-edge medical technologies creates an exceptionally favorable environment for sustained growth in the North American AAA Repair Devices market.

Europe Abdominal Aortic Aneurysm (AAA) Repair Devices Market Trends

The Europe Abdominal Aortic Aneurysm (AAA) Repair Devices market is experiencing steady growth, driven by the rising prevalence of AAA, advancements in minimally invasive procedures, and strengthening healthcare infrastructure across the region. Endovascular aneurysm repair (EVAR) is increasingly preferred over traditional open surgical repair due to its lower perioperative risks, shorter hospital stays, and faster recovery, particularly among elderly patients and those with comorbidities. Technological innovations, such as fenestrated and branched stent grafts, polymer-sealing systems, and AI-assisted preoperative planning, are further enhancing procedural outcomes and expanding the range of treatable anatomies.

As per analysis among the EU-5 countries, Germany has the highest diagnosed AAA population at 192,532 cases, followed by France with 138,193 cases, while Italy reports the lowest at 68,202 cases. Additionally, the prevalence of asymptomatic AAA has been reported at 8.2% in the United Kingdom and 8.8% in Italy, although only among males. These statistics highlight not only significant country-level variations but also the substantial clinical need for early diagnosis and effective intervention.

The combination of growing disease prevalence, increasing awareness, organized screening programs, and wider adoption of EVAR procedures is directly contributing to the expansion of the AAA repair devices market across Europe, reinforcing the region's position as a key contributor to the global market.

Asia-Pacific Abdominal Aortic Aneurysm (AAA) Repair Devices Market Trends

The Asia-Pacific abdominal aortic aneurysm repair devices market is witnessing rapid expansion, reflecting a robust CAGR of 7.11% during the forecast period from 2025 to 2032. This is due to the increasing disease prevalence, rising healthcare awareness, and expanding access to advanced vascular care. Minimally invasive endovascular aneurysm repair (EVAR) is gaining traction across the region due to its lower surgical risks, shorter hospital stays, and faster recovery compared to traditional open surgical repair, making it particularly attractive for elderly patients and those with comorbidities. Technological advancements, including fenestrated and branched stent grafts, polymer-sealing systems, and AI-assisted preoperative planning, are further enabling the treatment of complex aneurysms and improving procedural outcomes.

According to DelveInsight analysis 2024, the total diagnosed prevalent population of AAA in Japan was estimated at 253,883 cases in 2021 and is expected to increase steadily during the forecast period, reflecting the growing clinical need for timely interventions. Furthermore, rising investments in healthcare infrastructure, improved diagnostic capabilities, and increasing adoption of EVAR procedures are expected to drive the market growth.

Who are the major players in the Abdominal Aortic Aneurysm (AAA) Repair Devices Market?

The following are the leading companies in the Abdominal Aortic Aneurysm (AAA) Repair Devices market. These companies collectively hold the largest market share and dictate industry trends.

• Cook
• Medtronic
• W. L. Gore & Associates, Inc.
• Cardinal Health
• MicroPort Scientific Corporation
• Terumo Corporation
• Lombard Medical
• Artivion, Inc.
• Endospan
• Boston Scientific Corporation
• Endologix LLC

How is the competitive landscape shaping the Abdominal Aortic Aneurysm (AAA) Repair Devices Market?

The abdominal aortic aneurysm repair devices market is highly competitive and notably fragmented, with a large number of global and regional players contributing to a dynamic industry landscape. Leading companies such as Medtronic, W. L. Gore & Associates, Cook Medical, Endologix, and Terumo Corporation actively compete through technological innovation, expansion of their product portfolios, strategic collaborations, and a strong geographic presence.

Product differentiation is largely driven by advancements in endovascular devices, including fenestrated and branched stent grafts, polymer-sealing systems, and AI-assisted preoperative planning tools, which enhance procedural precision and patient outcomes. The market's fragmented nature encourages continuous innovation, as both established players and emerging companies strive to gain a competitive advantage through improved device designs, cost efficiency, and clinical support programs. Additionally, factors such as regulatory approvals, hospital adoption rates, and physician training programs play a critical role in shaping market positioning and influencing the choice of AAA repair devices.

This combination of innovation, strategic initiatives, and diverse market participants ensures a highly dynamic environment, driving ongoing growth and evolution in the global AAA repair devices market.

Recent Developmental Activities in the Spinal Fusion Devices Market

• In July 2025, Cook Medical's Zenith(R) Iliac Branch Device (ZBIS) received FDA approval and is now commercially available in the United States as an endovascular solution for treating aortoiliac and iliac aneurysmal disease. Cook is proud to introduce this advanced device to the US market, aiming to enhance treatment outcomes and improve the quality of life for patients with aortoiliac or iliac aneurysms.
• In May 2025, the U.S. Food and Drug Administration (FDA) approved an expanded indication for the Gore Excluder conformable AAA endoprosthesis. The device is now approved for patients with an aortic neck angulation of =90° and a minimum neck length of 10 mm, broadening its applicability and enhancing patient outcomes.

Abdominal Aortic Aneurysm (AAA) Repair Devices Market Segmentation

• Abdominal Aortic Aneurysm (AAA) Repair Devices by Type Exposure
• Open Surgical Repair Devices
• Endovascular Aneurysm Repair
• Abdominal Aortic Aneurysm (AAA) Repair Devices End-User Exposure
• Hospital
• Ambulatory Surgical Centers
• Others
• Abdominal Aortic Aneurysm (AAA) Repair Devices Geography Exposure
• North America Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• United States Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Canada Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Mexico Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Europe Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• United Kingdom Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Germany Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• France Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Italy Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Spain Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Rest of Europe Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Asia-Pacific Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• China Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Japan Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• India Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Australia Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• South Korea Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Rest of Asia-Pacific Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Rest of the World Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• South America Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Middle East Abdominal Aortic Aneurysm (AAA) Repair Devices Market
• Africa Abdominal Aortic Aneurysm (AAA) Repair Devices Market

Impact Analysis

AI-Powered Innovations and Applications:

AI-powered innovations are rapidly transforming the abdominal aortic aneurysm (AAA) repair devices market, driving enhanced precision, efficiency, and patient outcomes. Advanced artificial intelligence algorithms are increasingly being integrated into preoperative planning, enabling clinicians to create highly accurate 3D models of a patient's vascular anatomy. These models facilitate personalized device selection and optimal stent-graft sizing, significantly reducing procedural risks and complications. AI is also enhancing intraoperative guidance through real-time imaging analysis and predictive analytics, allowing surgeons to anticipate potential challenges and adjust strategies on the fly.

Furthermore, machine learning and data-driven tools are being leveraged for postoperative monitoring, predicting potential aneurysm growth or device-related complications, and supporting timely clinical interventions. Collectively, these AI-driven innovations not only improve the safety and efficacy of AAA repair procedures but also contribute to more streamlined workflows, reduced procedure times, and better long-term patient outcomes, positioning the market for sustained growth and technological evolution.

U.S. Tariff Impact Analysis on the Abdominal Aortic Aneurysm (AAA) Repair Devices Market:

The U.S. tariffs on medical devices have significantly influenced the abdominal aortic aneurysm (AAA) repair devices market by increasing production costs and creating challenges in supply chain management. Many AAA repair devices rely on imported components, including stent grafts, imaging systems, and specialized metals, making the sector highly sensitive to trade policy changes. The imposition of tariffs has led to higher manufacturing costs, which are often transferred to hospitals and healthcare providers, potentially affecting patient access and overall affordability of these critical procedures. In addition, the complex global supply chains involved in AAA device production mean that even minor tariff adjustments can disrupt production timelines and limit the availability of essential components. Manufacturers are therefore forced to consider alternative sourcing strategies, absorb additional costs, or delay innovation, while the industry advocates for exemptions on essential medical devices to ensure continuity of patient care. Thus, these tariffs have underscored the vulnerability of the AAA repair devices market to international trade policies, influencing both market dynamics and long-term growth prospects.

How This Analysis Helps Clients

• Cost Management: By understanding the tariff landscape, clients can anticipate cost increases and adjust pricing strategies accordingly, ensuring profitability.
• Supply Chain Optimization: Clients can identify alternative sourcing options and diversify their supply chains to reduce dependency on high-tariff regions, enhancing resilience.
• Regulatory Navigation: Expert guidance on navigating the evolving regulatory environment helps clients maintain compliance and avoid potential legal challenges.
• Strategic Planning: Insights into tariff impacts enable clients to make informed decisions about manufacturing locations, partnerships, and market entry strategies.

Key takeaways from the Abdominal Aortic Aneurysm (AAA) Repair Devices market report study

• Market size analysis for the current abdominal aortic aneurysm (AAA) repair devices market size (2024), and market forecast for 8 years (2025 to 2032)
• Top key product/technology developments, mergers, acquisitions, partnerships, and joint ventures happened over the last 3 years.
• Key companies dominating the abdominal aortic aneurysm (AAA) repair devices market.
• Various opportunities available for the other competitors in the abdominal aortic aneurysm (AAA) repair devices market space.
• What are the top-performing segments in 2024? How these segments will perform in 2032?
• Which are the top-performing regions and countries in the current abdominal aortic aneurysm (AAA) repair devices market scenario?
• Which are the regions and countries where companies should have concentrated on opportunities for the abdominal aortic aneurysm (AAA) repair devices market growth in the future?

Frequently Asked Questions for the Abdominal Aortic Aneurysm (AAA) Repair Devices Market

1. What is the growth rate of the abdominal aortic aneurysm (AAA) repair devices market?

• The abdominal aortic aneurysm (AAA) repair devices market is estimated to grow at a CAGR of 5.70% during the forecast period from 2025 to 2032.

2. What is the market for abdominal aortic aneurysm (AAA) repair devices?

• The abdominal aortic aneurysm (AAA) repair devices market was valued at USD 2,798.75 million in 2024, and is expected to reach USD 4,335.97 million by 2032.

3. Which region has the highest share in the abdominal aortic aneurysm (AAA) repair devices market?

• The North America abdominal aortic aneurysm repair devices market is propelled by the rising incidence of abdominal aortic aneurysms and associated risk factors, alongside a growing preference for minimally invasive procedures, collectively reinforcing the region's strong and leading position in the global market.

4. What are the drivers for the abdominal aortic aneurysm (AAA) repair devices market?

• The global abdominal aortic aneurysm repair devices market is driven by the rising prevalence of aneurysms linked to aging and lifestyle risk factors, a strong shift toward minimally invasive EVAR procedures, and continuous technological innovations that enhance safety, precision, and long-term outcomes. Together, these factors are expanding patient adoption and boosting global market growth.

5. Who are the key players operating in the abdominal aortic aneurysm (AAA) repair devices market?

• Some of the key market players operating in the abdominal aortic aneurysm repair devices market include Cook, Medtronic, W. L. Gore & Associates, Inc., Cardinal Health, MicroPort Scientific Corporation, Terumo Corporation, Lombard Medical, Artivion, Inc., Endospan, Boston Scientific Corporation, Endologix LLC., and others.