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Based on technique, the market is segmented as hypothermic machine perfusion, normothermic machine perfusion. The hypothermic machine perfusion dominated the perfusion systems market accounting over 65% business share in 2022. The increasing demand for hypothermic machine perfusion (HMP) can be attributed to several factors that drive the adoption and utilization of perfusion systems. HMP plays a vital role in organ preservation for transplantation, particularly for complex organs like the liver, kidney, and heart. It allows for extended preservation times compared to traditional static cold storage, reducing ischemic damage, and improving organ viability.
The increasing demand for organ transplantation, coupled with the need to improve transplant outcomes, drives the adoption of hypothermic machine perfusion. HMP permits for dynamic assessment of organ function and viability before transplantation. By continuously perfusing and monitoring the organ, HMP provides real-time data on parameters such as oxygen consumption, metabolic activity, and organ function. HMP enables the use of specialized preservation solutions that are continuously circulated through the organ during preservation.
Based on component, the perfusion systems market is segmented as oxygenators, heart-lung machine, perfusion pumps, monitoring system, bioreactor perfusion system and others. The oxygenators held a dominant business share and accounted for around USD 399 million in 2022. Oxygenators are a critical component of cardiopulmonary bypass (CPB) procedures, which are commonly used during cardiac surgeries. Oxygenators play a vital role in removing carbon dioxide and providing oxygen to the patient's blood during this process. The increasing number of cardiac surgeries and the need for CPB drive the demand for oxygenators, consequently impacting the market development. Oxygenators are also utilized in extracorporeal membrane oxygenation (ECMO) systems, that provide respiratory support to patients with severe respiratory failure.
With the rising prevalence of respiratory diseases and the need for advanced life support, the demand for oxygenators has been increasing, contributing to the growth of the perfusion systems market. Technological advancements have improved the design and performance of oxygenators significantly. Enhanced oxygen transfer capabilities, reduced priming volumes, and improved biocompatibility are some of the advancements that make oxygenators more efficient and reliable. These advancements coupled with ageing population, drives the adoption of oxygenators thereby fuelling industry growth.
Based on application, the perfusion systems market is segmented as cardiopulmonary perfusion system, cell perfusion system and ex-vivo organ perfusion system. The cardiopulmonary perfusion system captured a majority market share and is expected to grow at 4.7% CAGR till 2032. Cardiopulmonary perfusion systems are essential in cardiac surgeries as they temporarily take over the function of the heart and lungs, maintaining oxygenation and circulation during the procedure. These systems ensure the delivery of oxygenated blood to the patient's body while the heart is stopped for surgical intervention. The rising number of cardiac surgeries, including coronary artery bypass grafting (CABG), valve repair or replacement, and congenital heart defect corrections, drives the demand for cardiopulmonary perfusion systems.
The global burden of cardiovascular diseases, including conditions such as coronary artery disease, heart failure, and valvular diseases, continues to rise. Additionally, advancements in healthcare infrastructure and accessibility to advanced medical facilities in developing countries have led to an increased demand for cardiac surgeries. Cardiopulmonary perfusion systems help maintain stable physiological conditions during cardiac surgeries, reducing the risk of complications and improving patient outcomes.
Based on end-use, the perfusion systems market is segmented as hospitals, ambulatory surgical centers, and others. The hospitals segment acquired a dominant market share and accounted for around USD 623 million in 2022. Hospitals perform a range of advanced cardiac surgeries, such as coronary artery bypass grafting (CABG), heart valve repair or replacement, and congenital heart defect corrections. Perfusion systems are essential during these procedures, as they temporarily take over the function of the heart and lungs, maintaining oxygenation and circulation while the heart is stopped for surgical intervention. The increasing demand for these surgeries drives the need for perfusion systems in hospitals. Perfusion systems contribute to improved patient outcomes in cardiac surgeries.
Hospitals are increasingly adopting minimally invasive surgical techniques that incorporate specialized perfusion systems designed for smaller incisions and less invasive approaches. Hospitals that perform organ transplant surgeries require perfusion systems for organ preservation. In addition, increasing admissions with chronic disorders and growing disease related awareness initiatives along with the availability of highly skilled healthcare practitioners are some additional aspects that are fueling the expansion of the hospitals segment positively. Thus, availability and accessibility to advanced perfusion systems and better treatment & diagnosis coupled with the rising prevalence of chronic ailments will surge patient visits to hospitals, thereby propelling the segment revenue.
North America region held a dominant share in the global perfusion systems market and was valued at USD 477 million in 2022. This high market share is ascribed to a variety of factors, including the presence of significant industry players, an increase in the number of patients suffering from cardiovascular and respiratory diseases, an expanding elderly population, among others. Cardiovascular diseases, such as coronary artery disease, heart failure, and valvular disorders, are increasingly prevalent in North America. The region experiences a high burden of these conditions, leading to a greater demand for cardiovascular surgeries and interventions. Perfusions systems are critical for cardiac surgeries, including coronary artery bypass grafting (CABG) and valve repairs/replacements, which are common procedures performed to treat cardiovascular diseases.
Technological advancements, such as improved monitoring capabilities, better control systems, and enhanced biocompatibility, attract healthcare providers in North America to adopt the latest perfusion system technologies. The reimbursement landscape in the region plays a significant role in driving the demand for perfusion systems. Favorable reimbursement policies, coverage by insurance providers, and government healthcare programs facilitate the adoption of perfusion systems in hospitals and several healthcare facilities. Therefore, factors such as robust healthcare infrastructure, high prevalence of cardiovascular diseases, technological advancements, favorable reimbursement policies, focus on minimally invasive surgeries, and active research and clinical trials drives the increasing demand for perfusion systems in North America.