Product Code: TIPMD00002711
According to our new research study on "Chronic Total Occlusion Market Forecast to 2031 -Global Analysis - by Equipment, End User, and Geography," the market is anticipated to grow from US$ 2.44 billion in 2024 and is projected to reach US$ 4.22 billion by 2031; it is expected to register a CAGR of 8.2% during 2025-2031. increasing aging population and the rising prevalence of cardiovascular diseases are contributing to the growing chronic total occlusion market size. However, the high cost of occlusion devices hampers the chronic total occlusion market growth. Further, technological advancements in CTO devices is expected to bring in new chronic total occlusion market trends in the coming years.
In terms of revenue, North America dominated the market in 2024. It is estimated to dominate the global market during the forecast period. The US is the largest market for chronic total occlusion in the world.
The US chronic total occlusion market is growing with the rising incidence of CVD, especially Coronary Artery Disease (CAD), in the aging population. The American Heart Association's (AHA) 2023 Heart Disease and Stroke Statistics Update mentions that approximately 18.2 million adults in the country had CAD. The adoption of minimally invasive methods, including percutaneous coronary intervention (PCI), and the development of sophisticated CTO-specific devices are the major driving forces for market growth. Global leaders such as Medtronic, Boston Scientific, Abbott Laboratories, and Philips Healthcare dominate the US market with their innovative devices and technologies for CTO procedures. The strong healthcare infrastructure, reimbursement policies, and emphasis on enhancing patient outcomes fuel market growth. The growing number of specialized centers and well-trained cardiologists favor the application of CTO procedures. As per the Division of Occupational Employment and Wage Statistics, there were 15,190 employed cardiologists in the US as of 2023. In addition, growing consciousness about cardiovascular health and detection of CTO at an early stage fuel the demand for these interventions.
Chronic Total Occlusion Market Analysis
Strategic Initiatives by Market Players to Provide Market Opportunities in Future
Companies operating in the CTO market constantly focus on strategic developments such as product approvals, collaborations, funding, agreements, and new product launches, which help them improve their sales, increase their geographic reach, and reinforce their capacities to cater to a greater than existing customer base. A few strategic initiatives by key players operating in the CTO market are mentioned below.
In February 2022, Teleflex Incorporated announced that the U.S. Food and Drug Administration (FDA) granted expanded indications for its specialty catheters and coronary guidewires, specifically for use in chronic total occlusion percutaneous coronary interventions (CTO PCI).
In June 2024, MicroPort RotaPace's Intravascular Piezoelectric Guidewire System gained NMPA approval for entry into the special review procedures for innovative medical devices. This system was co-developed by a team led by Academician Junbo Ge from Zhongshan Hospital, Fudan University.
In February 2024, BIOTRONIK introduced the Micro Rx catheter, a novel rapid exchange microcatheter developed to easily enhance guidewire support during PCI. The Micro Rx catheter is the fourth IMDS product that BIOTRONIK has introduced to the US market, contributing to a strong portfolio of devices, which includes the NHancer Rx, TrapIT, and ReCross catheters.
In October 2022, the FDA-approved NovaCross line of microcatheters (NovaCross BTK for below-the-knee treatment, NovaCross Xtreme for chronic total occlusion treatment, and NovaCross CTO for chronic total occlusion treatment) was among the assets that Microbot Medical Inc. purchased from Nitiloop Ltd. The NovaCross devices are designed to make it easier to implant conventional and steerable guidewires intraluminally beyond stenotic lesions, including chronic complete occlusions, prior to percutaneous transluminal coronary angioplasty or stent intervention.
In April 2022, the FDA approved Transit Scientific's XO Cross Support Catheter Platform for coronary usage. The platform is intended to facilitate wire exchanges, guide and maintain a guidewire during access to the peripheral or coronary arteries, and serve as a conduit for the administration of diagnostic contrast agents or saline solutions.
In February 2022, the FDA approved an additional indication for Teleflex Incorporated's specialized catheters and coronary guidewires to be used in crossing chronic complete occlusion (CTO) during percutaneous coronary intervention (PCI).
In September 2023, Avinger, Inc. announced the full commercial launch of its Tigereye ST next-generation image-guided CTO crossing system. With the initiation of a full commercial launch, all current and prospective accounts can now order the Tigereye ST device.
Therefore, product launches, approvals, and collaborations are expected to create ample opportunities for the growth of the chronic complete occlusion (CTO) market in the coming years.
Chronic Total Occlusion Market Report Segmentation Analysis
Key segments that contributed to the derivation of the chronic total occlusion market analysis are equipment and end user.
Based on equipment, the chronic total occlusion market is segmented into guide wires, micro catheters, crossing devices, re-entry devices, and others. The guide wires segment held the largest share of the market in 2024.
In terms of end user, the chronic total occlusion market is categorized into hospitals, ambulatory care centers, and others. The hospitals segment dominated the market in 2024.
Chronic Total Occlusion Market: Competitive Landscape and Key Developments
Asahi Intecc Co Ltd, Cordis Corp, Integer Holdings Corp, Boston Scientific Corp, Becton Dickinson and Co, SoundBite Medical Solutions, Medtronic Plc, Terumo Corp, Abbott, and Koninklijke Philips NV are among the key companies operating in the chronic total occlusion market.
US Census Bureau, World Health Organization (WHO), British Heart Foundation, French National Institute for Demographic Studies, National Institute of Statistics (NIS), National Library of Medicine, National Crime Records Bureau (NCRB), and National Center for Biotechnology Information are among the primary and secondary sources referred to while preparing the chronic total occlusion market report.
Table Of Contents
1. Introduction
- 1.1 The Insight Partners Research Report Guidance
- 1.2 Market Segmentation
2. Executive Summary
3. Research Methodology
- 3.1 Secondary Research
- 3.2 Primary Research
- 3.2.1 Hypothesis formulation:
- 3.2.2 Macro-economic factor analysis:
- 3.2.3 Developing base number:
- 3.2.4 Data Triangulation:
- 3.2.5 Country level data:
4. Chronic Total Occlusion Market Landscape
- 4.1 Overview
- 4.2 North America PEST Analysis
- 4.3 Europe PEST Analysis
- 4.4 Asia Pacific PEST Analysis
- 4.5 Middle-East and Africa PEST Analysis
- 4.6 South and Central America PEST Analysis
5. Chronic Total Occlusion Market - Key Market Dynamics
- 5.1 Chronic Total Occlusion Market - Key Market Dynamics
- 5.2 Market Drivers
- 5.2.1 Increasing Aging Population
- 5.2.2 Rising Prevalence of Cardiovascular Diseases
- 5.3 Market Restraints
- 5.3.1 High Cost of Occlusion Devices
- 5.4 Market Opportunities
- 5.4.1 Strategic Initiatives by Market Players
- 5.5 Future Trends
- 5.5.1 Technological Advancements in CTO Devices
- 5.6 Impact of Drivers and Restraints:
6. Chronic Total Occlusion Market - Global Market Analysis
- 6.1 Chronic Total Occlusion Market Revenue (US$ Million), 2021-2031
- 6.2 Chronic Total Occlusion Market Forecast Analysis
- 6.3 Market Positioning of Key Players
7. Chronic Total Occlusion Market Analysis - by Equipment
- 7.1 Guide Wires
- 7.1.1 Overview
- 7.1.2 Guide Wires: Chronic Total Occlusion Market - Revenue and Forecast to 2031 (US$ Million)
- 7.2 Micro Catheters
- 7.2.1 Overview
- 7.2.2 Micro Catheters: Chronic Total Occlusion Market - Revenue and Forecast to 2031 (US$ Million)
- 7.3 Crossing Devices
- 7.3.1 Overview
- 7.3.2 Crossing Devices: Chronic Total Occlusion Market - Revenue and Forecast to 2031 (US$ Million)
- 7.4 Re-Entry Devices
- 7.4.1 Overview
- 7.4.2 Re-Entry Devices: Chronic Total Occlusion Market - Revenue and Forecast to 2031 (US$ Million)
- 7.5 Others
- 7.5.1 Overview
- 7.5.2 Others: Chronic Total Occlusion Market - Revenue and Forecast to 2031 (US$ Million)
8. Chronic Total Occlusion Market Analysis - by End User
- 8.1 Hospitals
- 8.1.1 Overview
- 8.1.2 Hospitals: Chronic Total Occlusion Market - Revenue and Forecast to 2031 (US$ Million)
- 8.2 Ambulatory Care Centers
- 8.2.1 Overview
- 8.2.2 Ambulatory Care Centers: Chronic Total Occlusion Market - Revenue and Forecast to 2031 (US$ Million)
- 8.3 Others
- 8.3.1 Overview
- 8.3.2 Others: Chronic Total Occlusion Market - Revenue and Forecast to 2031 (US$ Million)
9. Chronic Total Occlusion Market - Geographical Analysis
- 9.1 Overview
- 9.2 North America
- 9.2.1 North America: Chronic Total Occlusion Market Overview
- 9.2.2 North America: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.2.3 North America: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.2.3.1 North America: Chronic Total Occlusion Market- Revenue and Forecast Analysis - by Equipment
- 9.2.4 North America: Chronic Total Occlusion Market Breakdown, by End User
- 9.2.4.1 North America: Chronic Total Occlusion Market- Revenue and Forecast Analysis - by End User
- 9.2.5 North America: Chronic Total Occlusion Market - Revenue and Forecast Analysis - by Country
- 9.2.5.1 North America: Chronic Total Occlusion Market - Revenue and Forecast Analysis - by Country
- 9.2.5.2 United States: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.2.5.2.1 United States: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.2.5.2.2 United States: Chronic Total Occlusion Market Breakdown, by End User
- 9.2.5.3 Canada: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.2.5.3.1 Canada: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.2.5.3.2 Canada: Chronic Total Occlusion Market Breakdown, by End User
- 9.2.5.4 Mexico: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.2.5.4.1 Mexico: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.2.5.4.2 Mexico: Chronic Total Occlusion Market Breakdown, by End User
- 9.3 Europe
- 9.3.1 Europe Chronic Total Occlusion Market Overview
- 9.3.2 Europe: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.3.3 Europe: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.3.3.1 Europe: Chronic Total Occlusion Market- Revenue and Forecast Analysis - by Equipment
- 9.3.4 Europe: Chronic Total Occlusion Market Breakdown, by End User
- 9.3.4.1 Europe: Chronic Total Occlusion Market- Revenue and Forecast Analysis - by End User
- 9.3.5 Europe: Chronic Total Occlusion Market - Revenue and Forecast Analysis - by Country
- 9.3.5.1 Europe: Chronic Total Occlusion Market - Revenue and Forecast Analysis - by Country
- 9.3.5.2 Germany: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.3.5.2.1 Germany: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.3.5.2.2 Germany: Chronic Total Occlusion Market Breakdown, by End User
- 9.3.5.3 United Kingdom: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.3.5.3.1 United Kingdom: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.3.5.3.2 United Kingdom: Chronic Total Occlusion Market Breakdown, by End User
- 9.3.5.4 France: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.3.5.4.1 France: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.3.5.4.2 France: Chronic Total Occlusion Market Breakdown, by End User
- 9.3.5.5 Spain: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.3.5.5.1 Spain: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.3.5.5.2 Spain: Chronic Total Occlusion Market Breakdown, by End User
- 9.3.5.6 Italy: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.3.5.6.1 Italy: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.3.5.6.2 Italy: Chronic Total Occlusion Market Breakdown, by End User
- 9.3.5.7 Rest of Europe: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.3.5.7.1 Rest of Europe: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.3.5.7.2 Rest of Europe: Chronic Total Occlusion Market Breakdown, by End User
- 9.4 Asia Pacific
- 9.4.1 Asia Pacific Chronic Total Occlusion Market Overview
- 9.4.2 Asia Pacific: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.4.3 Asia Pacific: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.4.3.1 Asia Pacific: Chronic Total Occlusion Market- Revenue and Forecast Analysis - by Equipment
- 9.4.4 Asia Pacific: Chronic Total Occlusion Market Breakdown, by End User
- 9.4.4.1 Asia Pacific: Chronic Total Occlusion Market- Revenue and Forecast Analysis - by End User
- 9.4.5 Asia Pacific: Chronic Total Occlusion Market - Revenue and Forecast Analysis - by Country
- 9.4.5.1 Asia Pacific: Chronic Total Occlusion Market - Revenue and Forecast Analysis - by Country
- 9.4.5.2 China: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.4.5.2.1 China: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.4.5.2.2 China: Chronic Total Occlusion Market Breakdown, by End User
- 9.4.5.3 Japan: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.4.5.3.1 Japan: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.4.5.3.2 Japan: Chronic Total Occlusion Market Breakdown, by End User
- 9.4.5.4 India: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.4.5.4.1 India: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.4.5.4.2 India: Chronic Total Occlusion Market Breakdown, by End User
- 9.4.5.5 Australia: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.4.5.5.1 Australia: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.4.5.5.2 Australia: Chronic Total Occlusion Market Breakdown, by End User
- 9.4.5.6 South Korea: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.4.5.6.1 South Korea: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.4.5.6.2 South Korea: Chronic Total Occlusion Market Breakdown, by End User
- 9.4.5.7 Rest of APAC: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.4.5.7.1 Rest of APAC: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.4.5.7.2 Rest of APAC: Chronic Total Occlusion Market Breakdown, by End User
- 9.5 Middle East and Africa
- 9.5.1 Middle East and Africa Chronic Total Occlusion Market Overview
- 9.5.2 Middle East and Africa: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.5.3 Middle East and Africa: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.5.3.1 Middle East and Africa: Chronic Total Occlusion Market- Revenue and Forecast Analysis - by Equipment
- 9.5.4 Middle East and Africa: Chronic Total Occlusion Market Breakdown, by End User
- 9.5.4.1 Middle East and Africa: Chronic Total Occlusion Market- Revenue and Forecast Analysis - by End User
- 9.5.5 Middle East and Africa: Chronic Total Occlusion Market - Revenue and Forecast Analysis - by Country
- 9.5.5.1 Middle East and Africa: Chronic Total Occlusion Market - Revenue and Forecast Analysis - by Country
- 9.5.5.2 Saudi Arabia: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.5.5.2.1 Saudi Arabia: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.5.5.2.2 Saudi Arabia: Chronic Total Occlusion Market Breakdown, by End User
- 9.5.5.3 South Africa: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.5.5.3.1 South Africa: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.5.5.3.2 South Africa: Chronic Total Occlusion Market Breakdown, by End User
- 9.5.5.4 United Arab Emirates: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.5.5.4.1 United Arab Emirates: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.5.5.4.2 United Arab Emirates: Chronic Total Occlusion Market Breakdown, by End User
- 9.5.5.5 Rest of Middle East and Africa: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.5.5.5.1 Rest of Middle East and Africa: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.5.5.5.2 Rest of Middle East and Africa: Chronic Total Occlusion Market Breakdown, by End User
- 9.6 South and Central America
- 9.6.1 South and Central America Chronic Total Occlusion Market Overview
- 9.6.2 South and Central America: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.6.3 South and Central America: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.6.3.1 South and Central America: Chronic Total Occlusion Market- Revenue and Forecast Analysis - by Equipment
- 9.6.4 South and Central America: Chronic Total Occlusion Market Breakdown, by End User
- 9.6.4.1 South and Central America: Chronic Total Occlusion Market- Revenue and Forecast Analysis - by End User
- 9.6.5 South and Central America: Chronic Total Occlusion Market - Revenue and Forecast Analysis - by Country
- 9.6.5.1 South and Central America: Chronic Total Occlusion Market - Revenue and Forecast Analysis - by Country
- 9.6.5.2 Brazil: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.6.5.2.1 Brazil: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.6.5.2.2 Brazil: Chronic Total Occlusion Market Breakdown, by End User
- 9.6.5.3 Argentina: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.6.5.3.1 Argentina: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.6.5.3.2 Argentina: Chronic Total Occlusion Market Breakdown, by End User
- 9.6.5.4 Rest of South and Central America: Chronic Total Occlusion Market - Revenue, 2021 - 2031 (US$ Million)
- 9.6.5.4.1 Rest of South and Central America: Chronic Total Occlusion Market Breakdown, by Equipment
- 9.6.5.4.2 Rest of South and Central America: Chronic Total Occlusion Market Breakdown, by End User
10. Impact of COVID-19 Pandemic on Global Chronic Total Occlusion Market
- 10.1 North America
- 10.2 Europe
- 10.3 Asia-Pacific
- 10.4 Middle East and Africa
- 10.5 South and Central America
11. Chronic Total Occlusion Market - Industry Landscape
- 11.1 Overview
- 11.2 Growth Strategies in the Chronic Total Occlusion Market
- 11.3 Organic Growth Strategies
- 11.4 Inorganic Growth Strategies
12. Company Profiles
- 12.1 Asahi Intecc Co Ltd
- 12.1.1 Key Facts
- 12.1.2 Business Description
- 12.1.3 Products and Services
- 12.1.4 Financial Overview
- 12.1.5 SWOT Analysis
- 12.1.6 Key Developments
- 12.2 Cordis Corp
- 12.2.1 Key Facts
- 12.2.2 Business Description
- 12.2.3 Products and Services
- 12.2.4 Financial Overview
- 12.2.5 SWOT Analysis
- 12.2.6 Key Developments
- 12.3 Integer Holdings Corp
- 12.3.1 Key Facts
- 12.3.2 Business Description
- 12.3.3 Products and Services
- 12.3.4 Financial Overview
- 12.3.5 SWOT Analysis
- 12.3.6 Key Developments
- 12.4 Boston Scientific Corp
- 12.4.1 Key Facts
- 12.4.2 Business Description
- 12.4.3 Products and Services
- 12.4.4 Financial Overview
- 12.4.5 SWOT Analysis
- 12.4.6 Key Developments
- 12.5 Koninklijke Philips NV
- 12.5.1 Key Facts
- 12.5.2 Business Description
- 12.5.3 Products and Services
- 12.5.4 Financial Overview
- 12.5.5 SWOT Analysis
- 12.5.6 Key Developments
- 12.6 Becton Dickinson and Co
- 12.6.1 Key Facts
- 12.6.2 Business Description
- 12.6.3 Products and Services
- 12.6.4 Financial Overview
- 12.6.5 SWOT Analysis
- 12.6.6 Key Developments
- 12.7 Sound Bite Medical Solutions
- 12.7.1 Key Facts
- 12.7.2 Business Description
- 12.7.3 Products and Services
- 12.7.4 Financial Overview
- 12.7.5 SWOT Analysis
- 12.7.6 Key Developments
- 12.8 Medtronic Plc
- 12.8.1 Key Facts
- 12.8.2 Business Description
- 12.8.3 Products and Services
- 12.8.4 Financial Overview
- 12.8.5 SWOT Analysis
- 12.8.6 Key Developments
- 12.9 Terumo Corp
- 12.9.1 Key Facts
- 12.9.2 Business Description
- 12.9.3 Products and Services
- 12.9.4 Financial Overview
- 12.9.5 SWOT Analysis
- 12.9.6 Key Developments
- 12.10 Abbott Laboratories
- 12.10.1 Key Facts
- 12.10.2 Business Description
- 12.10.3 Products and Services
- 12.10.4 Financial Overview
- 12.10.5 SWOT Analysis
- 12.10.6 Key Developments
13. Appendix
- 13.1 About The Insight Partners
- 13.2 Glossary of Terms