Vascular Imaging Market by Procedure – Coronary, Peripheral, Neurovascular, and More

The vascular imaging market continues to grow as advanced diagnostic technologies improve the detection, assessment, and management of vascular diseases. The market is expected to reach US$ 9,748 million by 2031, with a CAGR of 5.8% between 2025 and 2031. One of the critical factors driving this growth is the diversity of vascular imaging procedures, which cater to specific clinical needs across coronary, peripheral, neurovascular, and other vascular conditions. Understanding procedure-level segmentation is essential for healthcare providers, investors, and manufacturers to identify growth opportunities and optimize product deployment.

Coronary Angiography

Coronary angiography is one of the most widely performed vascular imaging procedures, primarily used to assess coronary artery disease (CAD). This procedure visualizes the coronary arteries using X-ray or CT angiography with contrast agents to detect blockages, stenosis, or plaque accumulation.

Applications and importance

Diagnosis of CAD: Enables early detection of arterial narrowing, reducing the risk of heart attacks.
Guiding interventions: Supports percutaneous coronary interventions (PCI), stenting, and bypass surgery.
Monitoring therapy: Allows follow-up assessment of previously treated arteries to ensure patency and evaluate disease progression.

Market growth factors

Rising prevalence of cardiovascular diseases, aging populations, and the adoption of minimally invasive interventions are driving demand for coronary angiography. Technological advancements such as CT coronary angiography, high-resolution X-ray systems, and AI-assisted imaging are further enhancing procedural accuracy and adoption in hospitals and diagnostic centers.

Peripheral Angiography

Peripheral angiography focuses on blood vessels in the limbs, particularly for diagnosing peripheral artery disease (PAD), which can lead to pain, mobility issues, and limb amputation if untreated.

Applications and importance

Diagnosis of PAD: Detects blockages, stenosis, and reduced blood flow in peripheral arteries.
Interventional guidance: Supports minimally invasive procedures such as angioplasty, stenting, and atherectomy.
Preoperative planning: Essential for planning vascular bypass surgeries or endovascular treatments.

Market growth factors

Peripheral artery disease is increasingly common due to diabetes, obesity, and lifestyle-related cardiovascular risk factors, fueling the demand for peripheral angiography. Advances in ultrasound, CT angiography, and high-resolution X-ray imaging enable faster, safer, and more accurate diagnosis.

Neurovascular Angiography

Neurovascular angiography is critical for diagnosing conditions affecting the brain and spinal cord, such as stroke, aneurysms, arteriovenous malformations, and stenosis. This procedure uses CT, MRI, or X-ray imaging to evaluate cerebral blood vessels.

Applications and importance

Stroke diagnosis and treatment: Rapid imaging is essential for identifying ischemic and hemorrhagic strokes.
Aneurysm detection: Allows early identification of cerebral aneurysms, reducing the risk of rupture.
Interventional procedures: Guides catheter-based interventions such as coiling, thrombectomy, or stenting.

Market growth factors

The rising incidence of stroke and cerebrovascular disorders, especially in aging populations, is a major driver of neurovascular angiography. Hospitals and neuro-specialty centers are increasingly adopting CT angiography, MR angiography, and high-resolution X-ray systems to improve diagnostic speed and accuracy.

Vascular Ultrasound Procedures

Vascular ultrasound procedures involve non-invasive assessment of blood flow, vessel diameter, and plaque morphology using Doppler ultrasound and high-frequency probes. These procedures are widely used for preventive screening and follow-up care.

Applications and importance

Peripheral artery evaluation: Detects early-stage PAD, deep vein thrombosis, and aneurysms.
Carotid artery assessment: Evaluates stroke risk and monitors plaque progression.
Venous imaging: Assesses varicose veins and venous insufficiency.

Market growth factors

The non-invasive, cost-effective, and portable nature of ultrasound imaging supports widespread adoption, particularly in outpatient clinics and diagnostic centers. Innovations in portable devices, wireless connectivity, and AI-based interpretation are further enhancing market potential.

Micro Angiography

Micro angiography provides high-resolution imaging of small blood vessels, often used in specialized clinical or research applications.

Applications and importance

Small vessel visualization: Critical for detecting microvascular abnormalities in coronary, peripheral, or neurovascular regions.
Research applications: Supports experimental studies on vascular physiology, angiogenesis, and drug development.
Specialized interventions: Guides precise catheter-based procedures in microvascular regions.

Market growth factors

Although currently a niche segment, micro angiography is gaining importance in cardiovascular research, clinical trials, and precision interventions, providing growth potential for advanced imaging system providers.

Other Procedures

Other vascular imaging procedures include hybrid imaging techniques, minimally invasive diagnostic procedures, and emerging imaging solutions. These procedures combine anatomical and functional assessments to enhance diagnostic accuracy.

Examples include:

Hybrid PET-CT and SPECT-CT: Combines functional and structural imaging for myocardial perfusion and coronary assessment.
Intravascular ultrasound (IVUS): Provides intraluminal imaging during interventional procedures.
Optical coherence tomography (OCT): Enables high-resolution visualization of vessel walls, especially in coronary arteries.

Market growth factors

Hybrid and emerging procedures address complex diagnostic needs, particularly in tertiary care hospitals and specialty cardiovascular centers. These procedures improve treatment planning, reduce procedural risk, and enhance clinical outcomes.

Regional adoption of vascular procedures

Procedure adoption varies across regions based on disease prevalence, healthcare infrastructure, and technology availability:

North America: Dominates procedural adoption due to advanced hospitals, high cardiovascular disease incidence, and reimbursement support for coronary and neurovascular procedures.
Europe: Emphasizes preventive vascular imaging and peripheral angiography, supported by aging populations and national screening programs.
Asia-Pacific: Rapid adoption of coronary and peripheral angiography driven by rising cardiovascular disease prevalence and expanding healthcare infrastructure.
Latin America & MEA: Growing adoption in hospitals and diagnostic centers as healthcare investment and awareness increase.

Competitive landscape

Leading companies are innovating across multiple vascular procedures:

Siemens Healthineers: Focuses on CT, MRI, and hybrid imaging solutions for coronary, neurovascular, and peripheral procedures.
Fujifilm SonoSite: Provides portable ultrasound systems optimized for peripheral and carotid artery assessment.
Toshiba Medical Systems Corporation: Offers CT, MRI, and ultrasound systems tailored to procedural imaging.
CorVascular Diagnostics LLC: Specializes in advanced diagnostic imaging solutions for coronary and peripheral interventions.
TERUMO Corporation: Integrates imaging with catheter-based interventional devices.
Carestream Health, Inc. and Esaote SpA: Focus on X-ray and ultrasound technologies supporting diverse vascular procedures.

Innovation in AI, image-guided interventions, and hybrid imaging is enhancing procedural efficiency, accuracy, and safety, driving adoption in hospitals and specialty centers.

Future outlook

The vascular imaging market is expected to continue growing across all procedural segments through 2031:

Coronary angiography: Sustained growth due to cardiovascular disease prevalence and interventional needs.
Peripheral angiography: Rising demand from diabetes and PAD-related complications.
Neurovascular angiography: Increased adoption driven by stroke incidence and neurovascular interventions.
Vascular ultrasound procedures: Expanding preventive care and point-of-care adoption.
Micro angiography and other procedures: Gradual growth in research and high-precision interventions.

Integration of AI-assisted procedural guidance, hybrid imaging modalities, and minimally invasive techniques will further enhance market potential and broaden clinical adoption.

Summary

Procedural segmentation of the vascular imaging market highlights diverse applications across coronary, peripheral, neurovascular, and specialized interventions. Coronary angiography remains the largest segment, while peripheral and neurovascular procedures are growing rapidly due to disease prevalence and preventive care initiatives. Vascular ultrasound and emerging procedures expand access and precision, particularly in outpatient and research settings. Leading companies such as Siemens Healthineers, Fujifilm SonoSite, Toshiba, and TERUMO Corporation continue to innovate, enhancing procedural efficiency, safety, and clinical outcomes. With projected market growth to US$ 9,748 million by 2031, procedural innovation and adoption remain central to market expansion.

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