According to a new report from Intel Market Research, the global Peripheral Orbital Atherectomy Devices market was valued at USD 297 million in 2024 and is projected to reach USD 446 million by 2032, growing at a CAGR of 5.6% during the forecast period (2025–2032). This growth is propelled by the increasing global prevalence of peripheral artery disease, technological advancements in minimally invasive vascular interventions, and growing adoption of orbital atherectomy for calcified lesion treatment.

What are Peripheral Orbital Atherectomy Devices?

Peripheral orbital atherectomy devices are specialized medical instruments designed to remove calcified plaque from peripheral arteries, restoring blood flow in patients with peripheral artery disease (PAD). These innovative devices utilize an eccentrically mounted, diamond-coated crown that orbits within the vessel, effectively sanding down hardened deposits while preserving healthy arterial tissue. This minimally invasive approach enhances vessel compliance and improves outcomes for subsequent interventions like angioplasty and stenting.

Marketed under brand names such as Diamondback 360 and Stealth 360, these devices are administered via catheter-based systems and are currently approved for commercial use in major markets including the U.S., European Union, and Japan, making them essential tools for treating complex calcified peripheral lesions.

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Key Market Drivers

1. Rising Prevalence of Peripheral Artery Disease

The increasing global burden of peripheral artery disease represents a significant growth driver for orbital atherectomy devices. PAD affects over 200 million people worldwide, with prevalence rising sharply in aging populations. The disease's progression often leads to severe calcification in peripheral arteries, creating substantial demand for advanced plaque modification technologies. Orbital atherectomy devices have emerged as a preferred treatment option for heavily calcified lesions, offering superior outcomes compared to traditional angioplasty.

2. Technological Advancements in Atherectomy Systems

Continuous innovation in orbital atherectomy technology is transforming peripheral vascular interventions. Recent device iterations feature enhanced crown designs with diamond particles optimized for different calcification patterns, improved torque transmission, and more precise speed control mechanisms. These advancements have expanded the range of treatable lesions while reducing procedural complications. The integration with intravascular imaging and robotic-assisted platforms is creating new possibilities for precision atherectomy.

3. Growing Preference for Minimally Invasive Procedures

The shift toward minimally invasive peripheral vascular interventions continues to gain momentum, driven by patient demand for shorter recovery times and reduced complications. Orbital atherectomy devices perfectly align with this trend, offering treatment through small access points with lower risk of infection and faster return to normal activities compared to open surgical options. Hospitals are increasingly investing in hybrid operating rooms equipped for these procedures, further supporting market expansion.

Market Challenges

• High procedure costs: Complete atherectomy systems can cost between $14,000-$18,000 per procedure, creating adoption challenges in price-sensitive regions
• Limited reimbursement in emerging markets: Many developing healthcare systems lack dedicated reimbursement codes for these advanced interventions
• Technical complexity: Orbital atherectomy requires specialized training and a steep learning curve, limiting adoption to high-volume centers with experienced staff

Opportunities Ahead

The global expansion of vascular care capabilities, combined with increasing physician expertise in complex interventions, presents a favorable outlook. Regions such as Asia-Pacific, Latin America, and Middle East & Africa are witnessing growing momentum through:

• Improved healthcare infrastructure
• Expanded interventional cardiology training programs
• Strategic partnerships between global manufacturers and local distributors

Notably, leading medical device companies have announced their expansion strategies focusing on:

• Development of next-generation devices with enhanced safety profiles
• Clinical trials for expanded indications in below-the-knee interventions
• Training initiatives to build physician proficiency in emerging markets

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Regional Market Insights

• North America: Leads global market share owing to advanced healthcare infrastructure, high procedure volumes, and favorable reimbursement policies
• Europe: Strong adoption driven by well-established vascular intervention programs and increasing prevalence of calcified peripheral lesions
• Asia-Pacific: Emerging as the fastest-growing region due to improving healthcare access, rising PAD incidence, and expanding medical infrastructure
• Latin America: Showing promising growth in major healthcare markets with increasing investment in advanced medical technologies
• Middle East & Africa: Demonstrating growth potential through medical tourism hubs and government healthcare modernization initiatives

Market Segmentation

By Product Type

• Pneumatic Systems
• Electric Systems
• Battery-operated Devices
• Corded Devices

By Application

• Lower Extremity Arteries
• Renal Arteries
• Iliac Arteries
• Other Peripheral Vessels

By End User

• Hospitals
• Ambulatory Surgical Centers
• Specialty Cardiology Centers
• Academic Research Institutions

By Technology

• Diamond-coated Crown Technology
• Rotational Burr Systems
• Orbital Atherectomy Platforms
• Hybrid Technology Systems

By Region

• North America
• Europe
• Asia-Pacific
• Latin America
• Middle East & Africa

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Competitive Landscape

The global peripheral orbital atherectomy devices market features a competitive landscape dominated by established medical device companies with strong cardiovascular portfolios. Boston Scientific and Medtronic currently lead the market, leveraging their extensive distribution networks and clinical support capabilities. These industry giants are continuously enhancing their device platforms through research and development, focusing on improving procedural efficiency and patient outcomes.

Emerging players and specialized cardiovascular companies are also making significant strides, particularly through innovative technologies that address specific clinical challenges in peripheral vascular interventions. The competitive environment is characterized by ongoing technological innovation, strategic acquisitions, and expansion into underserved geographical markets.

The report provides comprehensive competitive profiling of key players, including:

• Abbott Cardiovascular
• Boston Scientific Corporation
• Medtronic plc
• Philips Healthcare
• Avinger, Inc.
• Becton, Dickinson and Company
• Merit Medical Systems
• Terumo Corporation
• Cook Medical
• Jiaxing Jiangxin Medical Technology

Report Deliverables

• Global and regional market forecasts from 2025 to 2032
• Strategic insights into technological developments and regulatory approvals
• Market share analysis and competitive landscape assessment
• Pricing analysis and reimbursement scenario overview
• Comprehensive segmentation by product type, application, end user, and geography

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About Intel Market Research

Intel Market Research is a leading provider of strategic intelligence, offering actionable insights in medical devices, healthcare technology, and clinical innovations. Our research capabilities include:

• Real-time competitive benchmarking
• Global clinical trial pipeline monitoring
• Country-specific regulatory and pricing analysis
• Over 500+ healthcare reports annually

Trusted by Fortune 500 companies, our insights empower decision-makers to drive innovation with confidence.

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