Stent Grafts Market by Product Type, Indication, End User, Delivery Mechanism, Material, Configuration

List of Tables

The Stent Grafts Market is projected to grow by USD 12.40 billion at a CAGR of 10.14% by 2032.

KEY MARKET STATISTICS
Base Year [2024]	USD 5.72 billion
Estimated Year [2025]	USD 6.30 billion
Forecast Year [2032]	USD 12.40 billion
CAGR (%)	10.14%

A dynamic introduction describing why clinical advances, device engineering and economic pressures are reshaping the stent graft landscape

Stent grafts sit at the convergence of vascular therapy, device engineering, and health system strategy, representing a durable alternative to open surgical repair for a range of aneurysmal and peripheral vascular pathologies. Over the last decade, progress in device design, imaging-guided deployment techniques, and perioperative management has broadened candidate eligibility and shortened procedural times, while improved materials science has enhanced durability and biocompatibility. Consequently, clinical teams increasingly view endovascular solutions as first-line interventions in complex anatomies, supported by robust registry data and iterative device improvements.

At the same time, healthcare providers and manufacturers face mounting pressures to deliver value through demonstrable outcomes and controlled costs. Hospitals and ambulatory surgical centers must balance capital investment in imaging and hybrid operating rooms against procedure volumes and reimbursement variability. Manufacturers must navigate an evolving regulatory environment while advancing modularity, low-profile delivery systems, and tailored graft configurations that address anatomical variability. Taken together, these forces frame a competitive landscape where clinical efficacy, operational efficiency, and supply chain resilience determine strategic positioning and commercial success.

How breakthroughs in device design, materials, procedural pathways and payer scrutiny are accelerating a step change in stent graft deployment and value delivery

A profound set of transformative shifts is redefining how stent grafts are developed, adopted, and reimbursed, driven by converging advances in technology, clinical practice, and procurement behavior. Endovascular therapy is evolving from a niche alternative to a mainstream strategy, accelerated by better imaging modalities, adoption of percutaneous access, and the maturation of fenestrated and branched technologies that enable treatment of complex aortic segments previously considered unsuitable for endografting. As a result, device roadmaps prioritize low-profile delivery, modular adaptability, and enhanced sealing mechanisms that mitigate endoleak risk.

Concurrently, materials innovation-particularly refinements in ePTFE and polyester graft backings-has improved fatigue resistance and long-term patency while reducing thromboembolic and inflammatory responses. Delivery mechanism innovations, including refinements in both balloon-expandable and self-expandable platforms, are enhancing precision and reducing procedural complications. Moreover, the move toward patient-specific solutions, including custom fenestrations and branched constructs, is driving closer collaboration between manufacturers, imaging vendors, and clinical centers.

Operationally, the rise of ambulatory surgical centers for select peripheral interventions is reshaping care pathways, pressuring hospitals to demonstrate value-add for complex cases. In parallel, payers and health technology assessment bodies are increasingly scrutinizing real-world outcomes, compelling manufacturers to invest in post-market surveillance, registries, and health economics analyses. These shifts collectively favor agile organizations that can couple clinical evidence generation with manufacturing scalability and targeted market access strategies.

Assessing how trade policy changes in 2025 catalyzed supply chain realignment, procurement reevaluation, and strategic localization across the stent graft ecosystem

The cumulative consequences of tariffs implemented in 2025 in the United States have created tangible ripples across supply chains, procurement strategies, and manufacturer localization decisions. Increased import duties combined with global component concentration have made manufacturers reassess sourcing strategies for critical components such as nitinol frames, ePTFE and polyester graft materials, and delivery system polymers. In response, some upstream suppliers accelerated capacity expansion within North America while others restructured contracts to pass through costs selectively, creating short-term pricing pressure and longer-term conversations about supplier diversification.

These tariff-driven dynamics pushed hospital procurement teams to re-evaluate vendor portfolios and total cost of ownership calculations, emphasizing predictable supply and service as much as unit price. Clinical teams confronted intermittent device backorders and lead-time variability that underscored the importance of multi-vendor strategies and inventory buffering for scheduled elective repairs. Additionally, manufacturers recalibrated market access approaches, increasing emphasis on localized manufacturing, nearshoring critical components, and renegotiating distributor terms to maintain competitive positioning.

Regulatory and compliance teams faced increased scrutiny of traceability and origin declarations, while strategy functions accelerated analysis of vertically integrated versus contract manufacturing models. Overall, tariffs acted as a catalyst for supply-chain modernization and strategic realignment, prompting both short-term operational adaptations and longer-term investments in regional manufacturing, supplier resilience, and contractual flexibility to mitigate future policy and trade volatility.

Deep segmentation analysis connecting product types, indications, care settings, delivery platforms, materials and configurations to strategic clinical and commercial priorities

A nuanced examination of the market by product, indication, end user, delivery mechanism, material, and configuration reveals differentiated dynamics that inform clinical adoption and commercial strategy. Based on product type the landscape bifurcates into Aortic and Peripheral devices, with Aortic solutions further delineated into treatments targeting Abdominal Aneurysm and Thoracic Aneurysm; each subdomain carries distinct anatomical, procedural, and device complexity considerations that influence design priorities and clinical training. Based on indication the segmentation splits into Aneurysm Repair and Peripheral Vascular Disease, with the Aneurysm Repair stream further differentiated into Abdominal and Thoracic indications, reflecting divergent evidence bases and regulatory pathways for each therapy area.

Based on end user the channels include Ambulatory Surgical Centers and Hospitals, and this divergence affects device selection, allowable inventory models, and the level of on-site imaging and hybrid operating room infrastructure required for complex aortic repairs. Based on delivery mechanism devices are categorized across Balloon Expandable and Self Expandable systems, a dichotomy that drives choices around radial force, conformability, and deployment precision. Based on material the market is studied across ePTFE and Polyester graft backings, each presenting trade-offs in porosity, handling, and long-term tissue integration. Finally, based on configuration the product set includes Bifurcated, Branched, and Straight constructs, with branched and bifurcated designs addressing junctional anatomy and complex arch or iliac involvement. Integrating these segmentation layers yields actionable insights for portfolio prioritization, clinical education targeting, and evidence-generation investments tailored to specific procedure types and care settings.

Regional dynamics and differentiated market entry approaches that reconcile diverse regulatory, clinical and procurement realities across global territories

Regional dynamics are shaping adoption patterns, regulatory expectations, and supply strategies in ways that influence both near-term tactics and long-term investments. In the Americas clinical practice favors minimally invasive treatment pathways supported by advanced imaging infrastructure and a concentration of centers of excellence, which accelerates uptake of complex aortic devices. Procurement cycles in this region are influenced by large institutional buyers and integrated health systems that place a premium on demonstrated outcomes and predictable service levels.

In Europe, Middle East & Africa market participants operate within a heterogeneous regulatory and reimbursement landscape that demands adaptable commercial approaches; reimbursement variability and diverse hospital capabilities make country-level evidence and localized health economic arguments essential. In addition, the region presents opportunities for regional manufacturing hubs and cross-border distributor models that can reduce lead times.

The Asia-Pacific region exhibits rapidly expanding procedural volumes driven by demographic shifts and increasing investments in tertiary care capacity, with several markets showing strong demand for both conventional and advanced fenestrated or branched solutions. However, supply chain considerations, regulatory approval timelines, and local competitive entrants lead manufacturers to pursue tailored entry strategies, including partnerships, licensing arrangements, and phased product rollouts that reflect local clinical workflows and procurement preferences. These regional contours underscore the necessity of differentiated commercial models, regulatory preparedness, and targeted clinical engagement to unlock growth and sustain access.

Competitive ecosystems are converging around integrated product innovation, strategic alliances, and robust clinical evidence that drive procurement and clinical trust

Competitive dynamics are being reshaped by a blend of product innovation, strategic partnerships, and targeted clinical evidence programs that enable firms to defend and expand their positions. Market leaders are investing in next-generation delivery systems that reduce profile and increase navigability, while also expanding modular portfolios that allow for intra-procedural customization. At the same time, manufacturers with a strong focus on materials science are developing proprietary graft backings and sealing technologies to address long-term durability concerns and reduce reintervention rates.

Strategic collaborations between device companies and imaging or software providers are accelerating development of integrated planning and navigation tools that improve sizing accuracy and reduce procedural variability. Mergers, licensing deals, and contract manufacturing arrangements continue to redistribute capabilities, with some companies prioritizing in-house manufacturing to control quality and supply reliability, while others leverage specialist partners to scale production quickly. Clinical trial design is shifting toward pragmatic registry-based evidence and real-world outcomes to satisfy payers and regulatory bodies, and companies that can demonstrate robust longitudinal data have a comparative advantage when negotiating hospital formularies and reimbursement pathways.

Finally, service models such as procedural support, training academies, and value-added aftermarket services are increasingly important differentiators, enabling companies to establish deeper relationships with high-volume centers and to embed their technologies within care pathways.

Actionable strategic guidance to strengthen clinical differentiation, supply resilience, tailored commercialization, and payer engagement for long-term competitive advantage

Industry leaders should prioritize a balanced strategy that addresses clinical differentiation, supply resilience, and commercial precision to capture opportunity and mitigate risk. First, invest in next-generation delivery systems and graft materials that demonstrably reduce procedural complexity and reintervention risk, and couple these technical advances with targeted clinical programs that generate real-world evidence in representative patient cohorts. Second, accelerate supply chain diversification by qualifying secondary suppliers for critical components, exploring nearshoring options, and negotiating flexible contracts that allow for volume variability without exposing margins.

Third, tailor go-to-market approaches by care setting; for ambulatory surgical centers, emphasize low-profile, single-use procedural kits and streamlined inventory models, while for hospitals focus on hybrid-room compatibility, clinical training, and outcomes-based partnerships. Fourth, develop modular commercial offerings that integrate device solutions with imaging and planning software to reduce friction in sizing and deployment. Fifth, proactively engage payers and health technology assessment bodies with transparent longitudinal outcomes and cost-effectiveness analyses to secure stable reimbursement. Lastly, cultivate strategic alliances with clinical centers of excellence and regional distributors to accelerate adoption while ensuring robust post-market surveillance and customer support.

A comprehensive mixed-methods research framework combining expert interviews, literature synthesis, regulatory review and supply-chain mapping to validate strategic insights

The research approach integrates both primary and secondary methods to ensure findings are grounded in clinical reality and validated by domain experts. Primary research included structured interviews with vascular surgeons, interventional radiologists, hospital procurement leads, and device engineers to capture frontline perspectives on device performance, procedural workflows, and procurement priorities. These expert conversations informed thematic analysis around clinical adoption barriers, preferred device attributes, and operational constraints across different care settings.

Secondary research consisted of a systematic review of peer-reviewed clinical literature, regulatory guidance documents, device labeling, and procedural registries to triangulate safety and efficacy signals and to understand device lifecycle considerations. Supply-chain analysis leveraged trade and customs data supplemented by supplier disclosures to map critical component dependencies and manufacturing footprints. Throughout the process, findings were cross-validated by an internal expert panel and subjected to methodological checks for bias and representativeness. Where applicable, sensitivity analyses were conducted to assess the robustness of strategic implications under alternative trade, regulatory, and clinical adoption scenarios.

A concise conclusion synthesizing technological, clinical and operational imperatives that will determine stent graft success and adoption in the coming years

In conclusion, the stent graft domain is experiencing a period of substantive transformation driven by technological advances, evolving clinical pathways, and shifting supply-chain and policy dynamics. These forces are encouraging manufacturers to pursue innovations in delivery systems, materials, and modular configurations while also demanding stronger real-world evidence and closer alignment with provider workflows. Healthcare providers are responding by adapting care pathways, investing in imaging and hybrid capabilities, and emphasizing outcome-driven procurement decisions.

Trade policy changes and regional disparities have underscored the importance of supply resilience and localized strategies, and they have prompted organizations to balance cost considerations with service reliability and inventory management. Going forward, success will accrue to firms and health systems that integrate clinical excellence with operational robustness, prioritize patient-centered outcomes, and adopt flexible commercial models that reflect the heterogeneity of regional regulatory and reimbursement environments. Continuous investment in evidence generation, clinician training, and strategic partnerships will be indispensable to sustaining adoption and delivering long-term value to patients and healthcare stakeholders.

Product Code: MRR-03147A7F3DEB

1. Preface

1.1. Objectives of the Study
1.2. Market Segmentation & Coverage
1.3. Years Considered for the Study
1.4. Currency & Pricing
1.5. Language
1.6. Stakeholders

2. Research Methodology

3. Executive Summary

4. Market Overview

5. Market Insights

5.1. Increasing use of next-generation fenestrated stent grafts for complex aortic aneurysms
5.2. Expanding adoption of endovascular repair solutions for thoracoabdominal aortic pathologies
5.3. Emergence of bioresorbable polymer-coated stent grafts to reduce long-term complications
5.4. Integration of advanced 3D imaging and AI-guided deployment in endograft procedures
5.5. Growing trend of remote delivery systems to improve precision in stent graft placement
5.6. Rising demand for low-profile stent grafts enabling access through smaller vascular sheaths
5.7. Development of branched and dual-branch stent grafts to address aortic arch aneurysms
5.8. Heightened focus on post-market surveillance and real-world evidence to optimize stent graft safety profiles

6. Cumulative Impact of United States Tariffs 2025

7. Cumulative Impact of Artificial Intelligence 2025

8. Stent Grafts Market, by Product Type

8.1. Aortic
- 8.1.1. Abdominal Aneurysm
- 8.1.2. Thoracic Aneurysm
8.2. Peripheral

9. Stent Grafts Market, by Indication

9.1. Aneurysm Repair
- 9.1.1. Abdominal
- 9.1.2. Thoracic
9.2. Peripheral Vascular Disease

10. Stent Grafts Market, by End User

10.1. Ambulatory Surgical Centers
10.2. Hospitals

11. Stent Grafts Market, by Delivery Mechanism

11.1. Balloon Expandable
11.2. Self Expandable

12. Stent Grafts Market, by Material

12.1. ePTFE
12.2. Polyester

13. Stent Grafts Market, by Configuration

13.1. Bifurcated
13.2. Branched
13.3. Straight

14. Stent Grafts Market, by Region

14.1. Americas
- 14.1.1. North America
- 14.1.2. Latin America
14.2. Europe, Middle East & Africa
- 14.2.1. Europe
- 14.2.2. Middle East
- 14.2.3. Africa
14.3. Asia-Pacific

15. Stent Grafts Market, by Group

15.1. ASEAN
15.2. GCC
15.3. European Union
15.4. BRICS
15.5. G7
15.6. NATO

16. Stent Grafts Market, by Country

16.1. United States
16.2. Canada
16.3. Mexico
16.4. Brazil
16.5. United Kingdom
16.6. Germany
16.7. France
16.8. Russia
16.9. Italy
16.10. Spain
16.11. China
16.12. India
16.13. Japan
16.14. Australia
16.15. South Korea

17. Competitive Landscape

17.1. Market Share Analysis, 2024
17.2. FPNV Positioning Matrix, 2024
17.3. Competitive Analysis
- 17.3.1. Medtronic plc
- 17.3.2. W. L. Gore & Associates, Inc.
- 17.3.3. Terumo Corporation
- 17.3.4. Cook Medical LLC
- 17.3.5. Boston Scientific Corporation
- 17.3.6. Endologix, LLC
- 17.3.7. Jotec GmbH
- 17.3.8. MicroPort Scientific Corporation
- 17.3.9. B. Braun Melsungen AG
- 17.3.10. Bentley InnoMed GmbH