By Type (AVF Creation Devices, AVF Monitoring Devices, and AVF Maintenance Devices), By End User, and By Region – Market Forecast, 2025–2034
The global arteriovenous fistula devices market size was valued at USD 354.40 million in 2024, growing at a CAGR of 7.3% from 2025–2034. Global prevalence of CKD and ESRD is growing with increasing aging populations and lifestyle conditions supplemented by growing healthcare spending and investments in the management of chronic diseases.
Arteriovenous fistula devices support stable vascular access for hemodialysis in patients with end-stage renal disease (ESRD) and chronic kidney disease (CKD). Minimally invasive and advanced device technologies allow for faster procedures, better patient outcomes, and fewer complications like thrombosis and infection. They are used in surgical and image-guided procedures that support clinicians in the management of dialysis treatment, extending vascular life, and promoting patient quality of life.
Government health policy initiatives, chronic disease management schemes, and reimbursement programs encouraging dialysis access are driving demand for AV fistula devices. National kidney disease awareness programs and schemes are increasing access to safe and durable vascular access solutions by patients, benefiting hospital and dialysis center adoption.
Growing healthcare spending, dialysis infrastructure investment, and vascular access specialists training are propelling market growth. Based on the U.S. Centers for Medicare & Medicaid Services (CMS), national health expenditure increased 7.5% to USD 4.9 trillion in 2023, or USD 14,570 per individual, accounting for 17.6% of GDP. Medicare expenditures rose 8.1% to USD 1,029.8 billion (21% of aggregate expenditure), whereas hospital expenditures accelerated 10.4% to USD 1,519.7 billion, ahead of 2022's 3.2% growth. Advanced healthcare nations are investing in state-of-the-art dialysis centers and device technology, enhancing procedure efficiency, shortening hospital stay times, and achieving clinical as well as economic advantages.
Which are the driving factors for Arteriovenous Fistula Devices Market?
Rising Prevalence of CKD and ESRD: The increasing prevalence of end-stage renal disease (ESRD) and chronic kidney disease (CKD) is generating a high demand for stable vascular access products. World Kidney Day suggests that chronic kidney disease exists in 10% of the global population, and millions of people die every year as they cannot afford the treatment. As an increasing number of patients are in need of long-term hemodialysis, there is a growing demand for arteriovenous fistula devices as they have better patency rates and fewer complications than central venous catheters and synthetic grafts. Such a trend is most prominent in aging societies and countries with increased incidence of diabetes and high blood pressure, which are leading causes of CKD.
Growing Healthcare Expenditure and Investments: Growing healthcare spending and investments in chronic disease care are driving the use of arteriovenous fistula devices. Governments and private healthcare organizations are increasing dialysis infrastructure, renovating surgical centers, and credentialing vascular access specialists to enable quality care. Such investments enhance procedure efficiency, minimize complications, and facilitate broader patient access, positioning AV fistula devices as a solution of choice in both developed and emerging markets.
Type Analysis
On the basis of type, segmentation is comprised of AVF creation devices, AVF monitoring devices, and AVF maintenance devices. AVF creation devices led the market in 2024 on account of strong demand for minimally invasive surgery and surgical fistula procedures. Moreover, such devices provide long-term vascular access and less complications as compared to synthetic graft or catheters.
In terms of type, AVF monitoring devices are projected to grow at the fastest CAGR during the forecast period due to rising adoption of real-time imaging technologies. Also, they improve procedure accuracy and enable early detection of fistula complications.
End User Analysis
On the basis of end user, the market is segmented into hospitals, ambulatory surgical centers, and dialysis centers. Hospitals dominated the market in 2024, due to their advanced surgical infrastructure and trained vascular specialists. Also, hospitals handle high dialysis patient volumes, and implement long-term care programs that promote AVF device adoption.
Ambulatory surgical facilities are expected to expand at the highest rate as minimally invasive AVF surgeries move into outpatient facilities. According to Definitive Healthcare, the U.S. has nearly 10,000 active ASCs, with the highest numbers in Los Angeles (549), New York (543), Atlanta (345), Washington (270), Dallas (245), and Phoenix (240). Also, these centers reduce hospital stay durations, and provide cost-effective solutions for chronic kidney disease management.
North America dominated the market in 2024 due to high prevalence of chronic kidney disease and extensive dialysis infrastructure. Moreover, government payment policies favoring vascular procedures for access lead to adoption. In addition, the U.S. led in healthcare expenditure and advanced device adoption.
The U.S. Arteriovenous Fistula Devices Market Insight
The U.S. led the market due to high dialysis patient volume and advanced hospital infrastructure supporting AVF procedures. As per the U.S. Centers for Disease Control and Prevention (CDC), around 35.5 million U.S. adults, or 1 in 7, have kidney disease, and about 90% of them are unaware of it. Moreover, reimbursement programs for vascular access devices encourage adoption.
Europe Arteriovenous Fistula Devices Market
Europe held the significant share driven by increasing awareness of long-term vascular access benefits and rising investments in chronic disease management. Moreover, hospitals in Germany and France have adopted advanced AVF technologies. In addition, favorable healthcare policies encourage procedural adoption.
Asia Pacific Arteriovenous Fistula Devices Market
Asia Pacific is expected to grow fastest owing to expanding dialysis centers and rising incidence of CKD in aging populations. According to the United Nations, almost a quarter of China’s population is 65 or older, and in the next decade, around 300 million people aged 50–60 are expected to retire, a group nearly the size of the US population. Moreover, government initiatives in China and Japan support vascular access programs. In addition, adoption of minimally invasive AVF devices is increasing.
China Arteriovenous Fistula Devices Market Overview
China is growing rapidly due to rising CKD prevalence and expansion of dialysis networks across urban regions. Moreover, government policies promote advanced vascular access technologies. In addition, increasing investments in outpatient dialysis centers accelerate adoption of minimally invasive and monitoring devices.
The arteriovenous fistula devices market is moderately competitive, with companies expanding capabilities across creation, monitoring, and maintenance devices. Additionally, investments in minimally invasive technologies, advanced imaging systems and strategic partnerships with hospitals and dialysis centers enhance procedural outcomes, patient safety and global market presence.
Key players in the market include Becton, Dickinson and Company, Terumo Corporation, Medtronic plc, Vasorum Ltd., Teleflex Incorporated, Fresenius Medical Care AG & Co. KGaA, LifeTech Scientific Corporation, Vasco Medical, Fritsch GmbH, Ultima Medical Services, Asahi Intecc Co Ltd, and CardioMedix.
By Type Outlook (Revenue, USD Million, 2020–2034)
By End User Outlook (Revenue, USD Million, 2020–2034)
By Regional Outlook (Revenue, USD Million, 2020–2034)
Report Attributes |
Details |
Market Size in 2024 |
USD 354.40 Million |
Market Size in 2025 |
USD 379.43 Million |
Revenue Forecast by 2034 |
USD 717.06 Million |
CAGR |
7.3% from 2025 to 2034 |
Base Year |
2024 |
Historical Data |
2020–2023 |
Forecast Period |
2025–2034 |
Quantitative Units |
Revenue in USD Million and CAGR from 2025 to 2034 |
Report Coverage |
Revenue Forecast, Competitive Landscape, Growth Factors, and Industry Trends |
Segments Covered |
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Regional Scope |
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Competitive Landscape |
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Report Techniqueat |
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Customization |
Report customization as per your requirements with respect to countries, regions, and segmentation. |
The global market size was valued at USD 354.40 million in 2024 and is projected to grow to USD 717.06 million by 2034.
The global market is projected to register a CAGR of 7.3% during the forecast period.
North America led the market due to advanced dialysis infrastructure and strong government support for chronic kidney disease management programs.
A few of the key players in the market are Becton, Dickinson and Company, Terumo Corporation, Medtronic plc, Vasorum Ltd., Teleflex Incorporated, Fresenius Medical Care AG & Co. KGaA, LifeTech Scientific Corporation, Vasco Medical, Fritsch GmbH, Ultima Medical Services, Asahi Intecc Co Ltd, and CardioMedix.
AVF creation devices dominated due to high demand for surgical and minimally invasive fistula procedures with long-term patency and low complication rates.
Ambulatory surgical centers are expected to grow fastest due to increasing preference for outpatient dialysis procedures and minimally invasive AVF creation.