Coronary
Artery Bypass Graft (CABG) is most common type of heart surgery that is
performed to treat people suffering from severe angina and coronary
artery heart disease. In coronary heart disease, a plaque is formed
inside the coronary artery that carries oxygenated blood to myocardium.
As the plaque becomes harder over the time, it narrows down the artery
and subsequently causes reduced blood flow to heart leading to chest
pain called angina. In CABG, a healthy artery or vein from elsewhere in
the body is grafted to blocked coronary artery that facilitates the flow
of oxygenated blood to heart muscles. Depending on the number of
coronary arteries bypassed, the surgery is referred as single bypass,
double bypass, triple bypass and quadruple bypass. Usually, there are
two different methods to perform CABG namely on-pump CABG and off-pump
CABG.
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Some
minimally invasive coronary artery bypass (MIDCAB) surgeries are also
performed such as endoscopic or thoracoscopic and robotic assisted
surgery that include smaller incision, less bleeding, low risk of
infection and reduced recovery time. Some of the commercially available
devices used in CABG are OPTrac STILLSITE Stabilizer by Heartport,
Ultima OPCAB system by Guidant and OCTOPUS 2+ Tissue Stabilization
System by Medtronics. Some of the prominent vendors operating in this
market are Sorin Group, Heratport, MAQUET, Guidant, Medtronic and
Terumo.
Industry
experts predict that the market for CABG devices will primarily be
driven by increasing incidences of coronary heart disease and to some
extent by the introduction of devices used in minimally invasive
procedures such as da Vinci system marketed by Intuitive Surgical, Inc.
Growing use of endoscopic vessel harvesting devices and anastomosis
assist devices is also expected to support the growth of market.
According to WHO, in 2008, approximately 17.3 million people died of
cardiovascular diseases and of these around 7.3 million deaths were due
to coronary heart disease. WHO also suggests that this death toll will
keep on rising and will become 23.3 million by 2030. The major
challenges to the market are matured market of North America and Europe
and availability of minimally invasive alternative options such as
percutaneous coronary interventions.
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