Anastomosis is a surgical connection between two tubular structures, such as blood vessels or

loops of intestine. Anastomosis is performed by a surgeon using anastomosis devices during

cardiac and gastrointestinal surgeries, wherein the surgeon staples or sutures the two open
ends to form a new connection. Major forms of anastomosis include vascular and
gastrointestinal. Vascular anastomosis is a connection between a graft and a blood vessel to
create a bypass during a heart bypass surgery. On the other hand, gastrointestinal anastomosis
is performed during bowel resection, wherein the surgeon reattaches the two ends of the
intestine together with stitches or staples. PAS-Port Proximal Anastomosis System,
HEARTSTRING II Proximal Seal System, Enclose II Anastomosis Assist Device and C-Port Distal
Anastomosis Systems are some anastomosis devices available in the market.

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Increase in number of cardiovascular surgical procedures performed and a rise in prevalence of

chronic diseases, such as gastrointestinal and cardiac disorders, across the globe are major
factors driving the global anastomosis devices market. According to the European Commission,
approximately 181,000 bypass anastomosis for heart revascularization procedures were
performed in the 25 EU Member States in 2016. Among them, Germany conducted around
51,000 heart bypass operations in 2016. This is likely to fuel the demand for anastomosis
devices in the near future. Furthermore, rapid technological advancement and favorable
reimbursement scenario for cardiac procedures, including coronary artery bypass graft (CABG),
open heart valve replacement, and angioplasty, in developed regions are projected to boost the
adoption of anastomosis devices during the forecast period. However, complications associated
with anastomosis, such as anastomotic leaks, are expected to hinder the global anastomosis
devices market.

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The global anastomosis devices market can be segmented based on product, application, and
region. In terms of product, the anastomosis devices market can be bifurcated into disposable
and reusable anastomosis devices. Based on application, the global anastomosis devices market
can be classified into cardiovascular surgeries, gastrointestinal surgeries, and others. The
cardiovascular surgeries segment held a prominent share of the market in 2017. It is anticipated
to maintain its dominant position in the market during the forecast period, owing to a rise in
number of CABG procedures performed across the globe. For instance, it is estimated that
approximately, 500,000 CABG procedures are performed each year in the U.S. This is likely to
fuel the demand for anastomosis devices market in the next few years.

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The global anastomosis devices market can be segmented into five major regions: North
America, Europe, Asia Pacific, Latin America, and Middle East & Africa. North America is
projected to account for a prominent share of the global anastomosis devices market between
2018 and 2026. Rise in prevalence of cardiovascular diseases, large number of CABG procedures
performed in the U.S., and favorable reimbursement scenario for these surgeries are
anticipated to drive the demand for anastomosis devices in the country. Rise in prevalence of
colon cancer and an increase in the number of cardiac bypass and cholecystectomy procedures
performed in Europe are expected to propel the demand for anastomosis devices in Europe.
Surge in the baby boomer population suffering from cardiovascular ailments, rapid adoption of
western lifestyle, which increases the risk of cardiac diseases, in the developing countries such
as India and China are key factors boosting the anastomosis devices market in Asia Pacific.

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Key players operating in the global anastomosis devices market are Medtronic, B. Braun
Melsungen AG, Dextera Surgical Inc., Ethicon Inc., Vitalitec International Inc., Novare Surgical
Systems, Inc., MAQUET Holding B.V. & Co. KG., LivaNova PLC, and Synovis Micro Companies
Alliance, Inc. These players have adopted organic and in-organic growth strategies including
mergers, acquisitions, and innovative product launches to expand their product portfolio and
enhance their geographic presence across the globe.

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