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July 2025
The worldwide intravascular ultrasound (IVUS) and optical coherence tomography (OCT) market is experiencing significant expansion, with projections indicating a revenue increase reaching several hundred million dollars by the end of the forecast period, spanning 2025 to 2034. This growth is driven by emerging trends and strong demand across key sectors.
The demand for IVUS and OCT is increasing for effective plaque detection, stent placement, and to reduce the risk of complications associated with cardiovascular diseases. Advancements to enhance its applications are also being conducted with the use of AI. Moreover, the growing collaborations among the companies are enhancing such developments and launches. This, in turn, is increasing their use in different regions, due to the advanced healthcare sector, increasing CAD burden, and growing cardiovascular diseases. Thus, all these developments are promoting the market growth.
The Intravascular Ultrasound (IVUS) and Optical Coherence Tomography (OCT) market involves catheter-based, real-time intravascular imaging technologies used during coronary and peripheral interventions to assess plaque morphology, vessel size, stent apposition, and residual thrombus. IVUS utilizes sound waves for deep tissue visualization, while OCT provides high-resolution cross-sectional imaging using infrared light.
Hence, the entire vessel wall can be assessed by IVUS, and endoluminal structures are assessed by OCT. These modalities are critical in precision PCI (percutaneous coronary intervention), offering superior guidance over traditional angiography alone.
The use of AI in IVUS and OCT is increasing. The automatic segmentation of IVUS images can be enhanced with the use of AI and machine learning (ML). At the same time, deep learning (DL) models for IVUS imaging of calcified and attenuated plaques and coronary plaque vulnerability features are also being developed. Additionally, to overcome the challenges in automatic segmentation, the ML and DL models for OCT imaging with accurate automatic segmentation are also being developed. Thus, the applications of IVUS and OCT can be enhanced using AI.
Increasing Cardiovascular Diseases
The incidence of cardiovascular diseases is increasing, which is increasing the demand for intravascular ultrasound (IVUS) and optical coherence tomography (OCT) solutions. Thus, the IVUS and OCT can help in identifying the structure of the blood vessels, which in turn can detect the plaque present. Moreover, it also provides detailed images, enhancing the operational procedures and the patient outcomes. Furthermore, it also helps in optimizing the placement and sizing of the stent, avoiding the risk of complications. Thus, this drives the intravascular ultrasound (IVUS) and optical coherence tomography (OCT) market growth.
The graph represents a comparison between the estimated number of people living with heart diseases in the years 2030 and 2040. It indicates that there will be a rise in heart diseases. Hence, it increases the demand for IVUS and OCT systems for their effective management. Thus, this, in turn, will ultimately promote the market growth.
High Cost
The IVUS and OCT systems are expensive, due to which most hospitals and clinics are unable to afford them. Moreover, the catheter used is also costly and is used only once. Additionally, the lack of proper reimbursement polices also contributes to the same. Thus, all these factors may limit the use of IVUS and OCT systems.
Why are Advancements in Imaging Systems an Opportunity in the Intravascular Ultrasound (IVUS) and Optical Coherence Tomography (OCT) Market?
As the use of imaging systems is increasing, various advancements to improve their application are also increasing. To enhance the image quality, the use of 3D reconstruction and advanced image resolutions is increasing, as it provides accurate plaque measurement and stent placement. Similarly, to improve the imaging of small and complex blood vessels, new small catheters are also being developed. Moreover, for decision-making, consultation, and data sharing, advanced technologies are also being used. Thus, this promotes the intravascular ultrasound (IVUS) and optical coherence tomography (OCT) market growth.
For instance,
By technology type, the IVUS segment held a dominating share of approximately 58% in the market in 2024. To detect the presence of plaque, the IVUS was widely used. It also provided deeper layer imaging, as well as reimbursement, which increased its use. Thus, this contributed to the market growth.
By technology type, the OCT segment is expected to show the fastest growth rate at a notable CAGR of > 8% during the predicted time. Its use is increasing as it provides detailed imaging of the plaques. The enhanced image resolution also contributes to the same. Moreover, it is also being used for different research purposes.
By product type, the imaging catheters segment led the market in 2024. Imaging catheters were crucial for imaging the blood vessels. Moreover, they were used only once, which increased their demand. They were also used to optimize the stent positioning, as well as for detecting the plaque.
By product type, the imaging consoles/systems segment is expected to show the fastest growth rate during the upcoming years. The imaging consoles/systems are being integrated with IVUS and OCT systems to enhance their performance. At the same time, growing advancements and investments are also contributing to the same.
By application type, the coronary artery disease (CAD) segment held the largest share of approximately 72% in the market in 2024. The increased cases of CAD have increased the use of IVUS and OCT systems. They were used to reduce the risk of complications associated with CAD. Thus, this enhanced the market growth.
By application type, the structural heart imaging segment is expected to show the highest growth during the upcoming years. The use of structural heart imaging is increasing to provide high-resolution imaging. Additionally, due to its minimally invasive procedure, its acceptance rate is increasing. Technological advancements are also contributing to the same.
By end user, the hospitals & cath labs segment led the global market in 2024. A large volume of patients increased the use of IVUS and OCT. Moreover, the presence of advanced infrastructure and skilled personnel enhanced its use and patient outcomes. This promoted the market growth.
By end user, the ambulatory surgical centers segment is expected to show the highest growth during the predicted time. The ambulatory surgical centers are providing affordable IVUS and OCT solutions. Moreover, the use of advanced technologies is reducing the operation time. Thus, this is attracting the patients.
North America dominated the intravascular ultrasound (IVUS) and optical coherence tomography (OCT) market share by 48% in 2024. North America consists of a well-developed healthcare sector. To deal with the growing cardiovascular diseases, the IVUS and OCT systems were widely used. This promoted the market growth.
The healthcare sector in the U.S. is advanced with the presence of advanced technologies and skilled personnel. Thus, the use of IVUS and OCT systems is increasing to enhance the patient outcomes. Additionally, the presence of favourable reimbursement policies is increasing their adoption and promoting their use.
The growing incidence of cardiovascular diseases in Canada is increasing the use as well as the demand for IVUS and OCT. Moreover, they are widely used for percutaneous coronary interventions. At the same time, various developments are also being conducted to improve the imaging technologies.
Asia Pacific is expected to host the fastest-growing intravascular ultrasound (IVUS) and optical coherence tomography (OCT) market during the forecast period. The Asia Pacific is experiencing a rise in coronary artery diseases. This is increasing the demand for IVUS and OCT. Thus, this enhances the market growth.
The incidence of CAD is increasing in China. This, in turn, is increasing the use of IVUS and OCT solutions. At the same time, the healthcare sector is also utilizing advanced technologies to enhance its development. Moreover, the growing investments are also contributing to the same.
The demand for IVUS and OCT in India is increasing to deal with the growing cardiovascular diseases. At the same time, the expanding healthcare sector is utilizing them due to growing investments. Moreover, the growing awareness is also increasing their use. These developments are backed by the government as well.
Europe is expected to grow significantly in the intravascular ultrasound (IVUS) and optical coherence tomography (OCT) market during the forecast period. The growing occurrence of cardiovascular diseases in Europe is increasing the use of IVUS and OCT systems. Additionally, growing advancements in imaging technologies are also promoting the market growth.
The growing incidences of cardiovascular diseases as well as their growing awareness is increasing the use of IVUS and OCT systems in Germany. Thus, they are used to enhance the stent placement and reduce the risk of complications. Moreover, to promote their use reimbursement policies are also being provided.
The UK consist of well-developed healthcare sector which utilizes IVUS and OCT systems to deal with the growing cardiovascular disease burden. At the same time, innovations in the imaging systems are also being made, promoting their clinical trials. these are further supported by the investment from various companies.
By Technology
By Product Type
By Application
By End User
By Region
July 2025
July 2025
July 2025
July 2025