Intravascular Ultrasound Market Size, Share, Growth, and Industry Analysis, By Type (IVUS Accessories, IVUS Catheters, IVUS Consoles), By Application (IVUS non-coronary /peripheral applications, IVUS coronary research, IVUS coronary intervention, IVUS coronary diagnostic), Regional Insights and Forecast to 2035

Intravascular Ultrasound Market Overview

The global Intravascular Ultrasound Market size estimated at USD 1155.36 million in 2026 and is projected to reach USD 2397.79 million by 2035, growing at a CAGR of 8.46% from 2026 to 2035.

The Intravascular Ultrasound Market is witnessing significant expansion due to the growing adoption of image-guided cardiovascular interventions and the increasing burden of coronary artery disease worldwide. Intravascular ultrasound (IVUS) technology enables high-resolution cross-sectional imaging of blood vessels, supporting accurate diagnosis and treatment planning during interventional procedures. More than 20% of percutaneous coronary interventions in advanced healthcare systems are now supported by intravascular imaging technologies. The market is characterized by rising utilization in coronary and peripheral vascular procedures, increasing hospital investments in catheter-based imaging systems, and expanding clinical recommendations favoring IVUS-guided interventions. The Intravascular Ultrasound Market Report highlights growing demand across hospitals, specialty cardiac centers, and ambulatory surgical facilities.

The United States represents one of the most advanced regions within the Intravascular Ultrasound Market. More than 5.2 million PCI admissions were analyzed across a ten-year period, demonstrating a substantial increase in intravascular imaging adoption. IVUS-guided and intravascular imaging-guided PCI procedures increased from approximately 7.1% in 2012 to 21.3% in 2022. In Veterans Affairs healthcare facilities, intravascular imaging utilization expanded from 12.2% of procedures to 42.1% between 2010 and 2022. Large urban teaching hospitals account for the highest adoption rates, with utilization exceeding 27% in several regions. The USA market continues to benefit from technological innovation, advanced reimbursement structures, and a growing patient population requiring coronary and peripheral vascular interventions.

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Key Findings

• Market Size & Growth: Intravascular imaging-guided PCI utilization increased from 7.1% to 21.3% between 2012 and 2022, while selected healthcare networks reported adoption growth from 12.2% to 42.1% of procedures.
• Key Market Driver: Cardiovascular diseases account for more than 30% of global mortality, while IVUS utilization improved from 7.1% to 21.3% in PCI procedures, reflecting a utilization increase exceeding 200% across major intervention centers.
• Major Market Restraint: Approximately 13.7% of hospitals reported no intracoronary imaging usage, while median hospital utilization remained near 6.3%, indicating significant penetration gaps and technology accessibility limitations.
• Emerging Trends: More than 60% of physicians utilize imaging-guided catheterization, portable IVUS system adoption increased by over 50%, and imaging resolution improvements ranged from 25% to 35%.
• Regional Leadership: North America accounted for approximately 45.1% of global market activity, while leading U.S. teaching hospitals achieved intravascular imaging adoption rates approaching 27.8%.
• Competitive Landscape: More than 86% of hospitals perform some form of intracoronary imaging, while 73.7% of facilities utilize IVUS as their primary intravascular imaging technology.
• Market Segmentation: Peripheral interventions report IVUS utilization ranging from 15% to 30%, whereas venous interventions demonstrate adoption rates between 41% and 89% depending on specialty.
• Recent Development: Clinical adoption increased from 12.2% to 42.1% of procedures across major healthcare networks, reflecting a procedural expansion exceeding 240% during the last decade.

Intravascular Ultrasound Market Latest Trends

The Intravascular Ultrasound Market Trends indicate rapid integration of advanced imaging technologies into cardiovascular intervention workflows. Hospitals and cardiac catheterization laboratories increasingly prefer IVUS-guided procedures because of superior vessel visualization and lesion characterization. In the United States, intravascular imaging-guided PCI utilization increased from 7.1% in 2012 to 21.3% in 2022, demonstrating strong clinical acceptance. Some healthcare systems reported utilization rates increasing from 12.2% to 42.1% of interventions over the past decade. Advanced imaging platforms now deliver 25%–35% higher image resolution compared with earlier-generation systems, improving diagnostic precision and procedural outcomes.

Another notable Intravascular Ultrasound Market Analysis trend is the expansion of IVUS applications beyond coronary procedures into peripheral artery disease and venous interventions. Utilization among interventional radiologists reached approximately 30% of arterial procedures, while venous intervention adoption rates ranged from 41% to 89% depending on physician specialty. Around 58% of healthcare providers report enhanced diagnostic accuracy when IVUS is combined with conventional angiography. Ambulatory surgical centers and office-based laboratories account for nearly 40% utilization levels, reflecting increasing migration toward outpatient cardiovascular care. The Intravascular Ultrasound Market Research Report also highlights growing demand for digital imaging enhancements, with nearly 48% of newly introduced systems integrating advanced software capabilities and automated imaging features.

Intravascular Ultrasound Market Dynamics

DRIVER

"Increasing Burden of Cardiovascular Diseases and PCI Procedures"

The primary growth driver for the Intravascular Ultrasound Market is the rising prevalence of cardiovascular diseases and the increasing volume of catheter-based interventions. Coronary artery disease remains one of the leading causes of hospitalization worldwide, resulting in millions of diagnostic and therapeutic procedures annually. Clinical evidence has encouraged broader use of IVUS-guided PCI, with utilization increasing from 7.1% to 21.3% between 2012 and 2022. Additional healthcare networks documented adoption growth from 12.2% to 42.1% during the same period. More than 5.2 million PCI admissions have been evaluated in major clinical studies, reinforcing the value of intravascular imaging in treatment optimization. The Intravascular Ultrasound Market Outlook remains favorable as healthcare providers continue prioritizing precision-guided interventions and improved patient outcomes.

RESTRAINTS

"Limited Adoption Across Smaller Healthcare Facilities"

Despite technological advantages, uneven utilization remains a significant restraint for the Intravascular Ultrasound Market. Approximately 13.7% of hospitals still report no intracoronary imaging usage, and median utilization across facilities remains close to 6.3%. Many smaller hospitals face challenges associated with equipment acquisition, specialized training requirements, and workflow integration. Variability in adoption remains substantial, with some institutions performing IVUS in fewer than 2% of procedures. In peripheral interventions, utilization among physicians remains highly inconsistent, with a median use rate of only 5.4% of eligible cases. These disparities create barriers to broader market penetration and may slow adoption in cost-sensitive healthcare environments.

OPPORTUNITY

"Expansion into Peripheral and Venous Interventions"

The Intravascular Ultrasound Market Opportunities are increasingly linked to peripheral vascular and venous applications. Utilization rates in venous interventions have reached 89% among cardiologists and 77% among surgeons, demonstrating strong clinical acceptance beyond coronary procedures. Office-based laboratories and ambulatory surgery centers reported approximately 40% utilization levels, indicating expanding outpatient demand. More than 60% of physicians now incorporate imaging-guided catheterization into procedural workflows, while portable IVUS systems have achieved adoption increases exceeding 50% in outpatient settings. These developments create substantial opportunities for manufacturers developing specialized catheters, AI-assisted imaging solutions, and next-generation visualization platforms targeting broader vascular intervention segments.

CHALLENGE

"Operational Complexity and Clinical Standardization"

A key challenge within the Intravascular Ultrasound Market is achieving consistent procedural standardization across healthcare systems. Significant differences in physician training, hospital infrastructure, and imaging protocols contribute to wide adoption variability. While some facilities report intravascular imaging utilization above 27%, others continue operating without routine IVUS integration. Interpretation of imaging data requires specialized expertise, and procedural workflows often require additional training for interventional teams. Furthermore, adoption rates differ substantially among physician specialties, ranging from approximately 15% to 89% depending on intervention type. These operational complexities may affect scalability and create barriers for healthcare organizations seeking uniform implementation of IVUS-guided treatment pathways.

Intravascular Ultrasound Market Segmentation

The Intravascular Ultrasound Market Segmentation is primarily divided by type and application, with strong differentiation based on device functionality, procedural usage, and clinical complexity. By type, the market includes IVUS Accessories, IVUS Catheters, and IVUS Consoles, each contributing uniquely to procedural imaging efficiency and diagnostic precision. By application, the market spans IVUS non-coronary/peripheral applications, IVUS coronary research, IVUS coronary intervention, and IVUS coronary diagnostic procedures, with coronary intervention holding the dominant usage share due to high PCI volumes and increasing imaging-guided procedures globally.

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BY TYPE

IVUS Accessories: IVUS Accessories play a crucial supporting role in the Intravascular Ultrasound Market, ensuring seamless functionality of imaging systems during cardiovascular procedures. These include guidewires, connectors, pullback devices, sterilization kits, and imaging interface components that collectively enhance procedural efficiency. More than 65% of IVUS procedural setups require accessory integration for optimal imaging performance, particularly in high-volume catheterization laboratories. The demand for disposable accessories has increased significantly, driven by infection control protocols and procedural standardization across hospitals. Approximately 70% of healthcare facilities prefer single-use accessory kits to reduce cross-contamination risks and improve procedural turnaround time. 

IVUS Catheters: IVUS Catheters represent the core imaging component in the Intravascular Ultrasound Market, directly responsible for capturing high-resolution cross-sectional images of blood vessels. These catheters are widely used in coronary artery disease diagnosis, peripheral vascular assessment, and interventional cardiology procedures. More than 80% of IVUS procedures globally rely on catheter-based imaging systems, making this segment the largest contributor within the market structure. Catheter usage is highest in coronary interventions, where adoption rates exceed 70% in advanced cardiac centers performing complex PCI procedures. Catheter innovation is also focused on hybrid imaging capabilities, with nearly 45% of newly developed devices integrating optical and ultrasound functionalities. 

IVUS Consoles: IVUS Consoles serve as the central processing and visualization units in the Intravascular Ultrasound Market, enabling real-time interpretation of intravascular imaging data. These systems are used in hospital catheterization laboratories, cardiac centers, and hybrid operating rooms. More than 75% of advanced cardiovascular centers utilize dedicated IVUS consoles for complex coronary and peripheral interventions. Console systems integrate imaging software, data processing algorithms, and visualization interfaces that enhance procedural accuracy and clinical decision-making. Hospitals report that IVUS consoles improve procedural accuracy by approximately 45%, particularly in stent placement optimization and lesion assessment. Multi-modality compatibility has increased to nearly 60%, enabling integration with angiography and other imaging systems. 

BY APPLICATION

IVUS Non-Coronary / Peripheral Applications: IVUS non-coronary and peripheral applications represent a rapidly expanding segment in the Intravascular Ultrasound Market, driven by increasing cases of peripheral artery disease and venous disorders. Utilization in peripheral arterial procedures ranges from 55% to 65% in major vascular centers, particularly in lower limb interventions. Physicians increasingly rely on IVUS imaging for accurate vessel sizing, lesion assessment, and treatment planning in complex peripheral anatomy. Approximately 60% of interventional radiologists report improved procedural accuracy when IVUS is used in non-coronary applications. 

IVUS Coronary Research: IVUS coronary research applications play a critical role in advancing cardiovascular innovation within the Intravascular Ultrasound Market. Research institutions and academic hospitals use IVUS systems for studying plaque morphology, vessel remodeling, and stent performance. Approximately 65% of cardiovascular research centers utilize IVUS imaging for experimental studies related to coronary artery disease progression. These applications provide high-resolution data essential for understanding vascular pathology. More than 60% of research-driven IVUS systems now include advanced data analytics capabilities, supporting automated plaque characterization and vessel quantification. These tools improve research efficiency by nearly 40%, reducing manual interpretation variability. 

IVUS Coronary Intervention: IVUS coronary intervention is the dominant application segment in the Intravascular Ultrasound Market, driven by widespread adoption in percutaneous coronary interventions (PCI). More than 70% of complex PCI procedures in advanced cardiac centers utilize IVUS guidance for stent optimization and lesion assessment. The use of IVUS in coronary interventions has increased significantly, with adoption rates rising from single-digit percentages to over 21% in major healthcare systems. IVUS guidance improves procedural outcomes by approximately 40%, reducing risks of stent thrombosis and restenosis. Around 65% of interventional cardiologists report improved confidence in stent placement decisions when using IVUS imaging. 

IVUS Coronary Diagnostic: IVUS coronary diagnostic applications are essential for detailed assessment of coronary artery disease within the Intravascular Ultrasound Market. This application is widely used for evaluating plaque burden, vessel remodeling, and lesion severity. Approximately 60% of diagnostic catheterization procedures in advanced cardiac centers incorporate IVUS imaging for enhanced accuracy. The technology enables cross-sectional visualization of coronary arteries, improving diagnostic precision by nearly 45% compared to conventional angiography alone. Advanced imaging capabilities have improved diagnostic workflow efficiency by nearly 30%, allowing faster interpretation of vascular conditions. More than 40% of hospitals now use IVUS as a complementary diagnostic tool alongside angiography in complex cases. 

Intravascular Ultrasound Market Regional Outlook

The Intravascular Ultrasound Market Regional Outlook shows a globally distributed structure where North America holds approximately 38% share, Europe accounts for nearly 27%, Asia-Pacific contributes around 25%, and the Middle East & Africa represents close to 10% of the total market composition. North America leads due to advanced cardiovascular infrastructure and high PCI adoption rates. Europe follows with strong clinical guidelines supporting intravascular imaging. Asia-Pacific is expanding rapidly driven by increasing cardiac disease burden and hospital modernization. The Middle East & Africa region is gradually growing with improving healthcare access and rising interventional cardiology procedures, collectively shaping a 100% global market distribution.

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NORTH AMERICA

North America dominates the Intravascular Ultrasound Market with approximately 38% share, driven by high adoption of advanced cardiovascular imaging systems and strong procedural volumes in catheter-based interventions. The region records IVUS usage in over 21% of PCI procedures, with some leading hospitals exceeding 40% utilization rates. More than 5 million PCI-related admissions annually contribute significantly to IVUS demand, supported by advanced healthcare infrastructure and specialized cardiac centers. The United States accounts for the majority of regional share, contributing nearly 85% of North American usage, while Canada contributes close to 10% and Mexico around 5% due to evolving interventional cardiology capabilities. The Intravascular Ultrasound Market Size in North America continues to expand due to increasing prevalence of coronary artery disease affecting more than 18% of adults in high-risk populations. Around 70% of tertiary care hospitals in the region utilize IVUS systems, while approximately 60% of interventional cardiologists prefer IVUS-guided PCI for complex lesions. Adoption in ambulatory surgical centers has reached nearly 45%, reflecting a shift toward outpatient cardiovascular care.

EUROPE

Europe holds approximately 27% share in the Intravascular Ultrasound Market, supported by strong clinical adoption in Germany, the United Kingdom, France, Italy, and Spain. The region records IVUS usage in nearly 18% to 22% of PCI procedures across major cardiac centers. Germany leads regional adoption with around 30% of European IVUS utilization, followed by the United Kingdom at approximately 22% and France at nearly 18%. The remaining share is distributed among Southern and Eastern European countries where adoption rates are gradually increasing due to healthcare modernization initiatives. The Intravascular Ultrasound Market Size in Europe is driven by rising cardiovascular disease prevalence affecting nearly 17% of the adult population. Approximately 65% of tertiary hospitals in Western Europe utilize IVUS technology, while adoption in Eastern Europe remains lower at around 40% due to infrastructure gaps. The Intravascular Ultrasound Market Share is supported by strong regulatory frameworks encouraging advanced imaging use in PCI procedures. Around 58% of cardiologists in Europe report improved procedural accuracy when IVUS is used, particularly in complex coronary interventions involving calcified lesions.

GERMANY INTRAVASCULAR ULTRASOUND Market

Germany holds approximately 30% share within the European Intravascular Ultrasound Market, making it the largest contributor in the region. The country performs a high volume of PCI procedures annually, with IVUS adoption reaching nearly 25% in advanced cardiac centers. More than 70% of university hospitals in Germany utilize intravascular imaging systems for complex coronary interventions. The demand is driven by a high prevalence of cardiovascular disease affecting nearly 16% of the adult population. Approximately 60% of German interventional cardiologists prefer IVUS-guided procedures for improved lesion assessment and stent optimization. Imaging accuracy improvements of nearly 35% have been reported in hospitals using advanced IVUS systems. Around 55% of catheterization laboratories in Germany have integrated hybrid imaging platforms combining angiography and IVUS. The Intravascular Ultrasound Market Growth in Germany is supported by strong healthcare infrastructure and early adoption of advanced medical technologies.

UNITED KINGDOM INTRAVASCULAR ULTRASOUND Market

The United Kingdom accounts for approximately 22% share of the European Intravascular Ultrasound Market, supported by strong NHS adoption and advanced cardiovascular care infrastructure. IVUS utilization in PCI procedures ranges between 18% and 23%, with higher adoption in tertiary care hospitals. More than 65% of cardiac centers in the UK utilize intravascular imaging for complex coronary interventions. Approximately 58% of interventional cardiologists in the UK report improved procedural outcomes when IVUS is used. Adoption in teaching hospitals reaches nearly 40%, reflecting strong integration into academic training programs. The Intravascular Ultrasound Market Size in the UK is influenced by rising cardiovascular disease prevalence affecting nearly 15% of adults. Imaging-guided PCI procedures have increased by approximately 30% in the last decade.

ASIA-PACIFIC

Asia-Pacific holds approximately 25% share in the Intravascular Ultrasound Market, driven by rapidly increasing cardiovascular disease burden and expanding healthcare infrastructure. Countries such as China, Japan, India, and South Korea dominate regional demand. IVUS utilization in PCI procedures ranges from 12% to 18% across developing economies and reaches up to 30% in advanced healthcare systems like Japan and South Korea. The region is experiencing rapid growth in catheter-based interventions, with PCI volumes increasing significantly due to aging populations and lifestyle-related diseases. Approximately 55% of urban hospitals in Asia-Pacific utilize IVUS systems, while rural adoption remains below 30%. The Intravascular Ultrasound Market Size is expanding due to increased investment in cardiac care facilities and rising awareness of minimally invasive procedures. China contributes nearly 40% of regional share, followed by Japan at 25% and India at 15%. The Intravascular Ultrasound Market Share is expected to grow steadily as healthcare infrastructure continues to modernize.

JAPAN INTRAVASCULAR ULTRASOUND Market

Japan holds approximately 25% share of the Asia-Pacific Intravascular Ultrasound Market, driven by early adoption of advanced cardiovascular technologies and high procedural precision standards. IVUS utilization in coronary interventions exceeds 30%, one of the highest globally. More than 80% of major cardiac centers in Japan use IVUS as a standard diagnostic and interventional tool. Approximately 65% of interventional cardiologists in Japan prefer IVUS-guided PCI for complex lesions. Imaging resolution improvements of nearly 40% have enhanced procedural outcomes. Around 55% of catheterization labs utilize hybrid imaging systems combining IVUS and angiography. The Intravascular Ultrasound Market Growth in Japan is supported by strong technological innovation and high healthcare standards.

CHINA INTRAVASCULAR ULTRASOUND Market

China accounts for approximately 40% share of the Asia-Pacific Intravascular Ultrasound Market, driven by large patient population and increasing cardiovascular disease prevalence affecting nearly 20% of adults in high-risk groups. IVUS adoption in PCI procedures ranges between 12% and 20%, with higher rates in tier-1 hospitals exceeding 30%. Approximately 60% of urban cardiac centers in China utilize IVUS systems, while rural penetration remains below 35%. The Intravascular Ultrasound Market Size is expanding due to rapid hospital infrastructure development and increasing interventional cardiology procedures. Around 50% of cardiologists in major cities report improved procedural accuracy using IVUS. Hybrid imaging adoption has reached nearly 40%, while outpatient usage stands at approximately 30%. 

MIDDLE EAST & AFRICA

The Middle East & Africa holds approximately 10% share in the Intravascular Ultrasound Market, driven by improving healthcare infrastructure and increasing cardiovascular disease prevalence affecting nearly 14% of the adult population. IVUS utilization in PCI procedures ranges from 8% to 15%, with higher adoption in Gulf Cooperation Council countries compared to African regions where penetration remains below 10%. Approximately 50% of tertiary hospitals in the Middle East utilize IVUS systems, while Africa’s adoption remains at around 30% due to limited access to advanced imaging technologies. The Intravascular Ultrasound Market Size is growing due to increasing investments in cardiac care facilities and medical tourism in countries such as UAE and Saudi Arabia. The Intravascular Ultrasound Market Share is expanding steadily as awareness of minimally invasive procedures increases. Hybrid imaging adoption in the region stands at approximately 35%, while outpatient use remains near 25%. 

List of Key Intravascular Ultrasound Market Companies

• Koninklijke Philips N.V.
• Boston Scientific Corporation
• Terumo Corporation
• Bracco S.p.A.
• Siemens Healthineers AG
• Infraredx, Inc.
• Conavi Medical Inc.

Top Two Companies with Highest Share

• Koninklijke Philips N.V.: holds approximately 28% share due to strong IVUS imaging integration and global cardiovascular portfolio dominance.
• Boston Scientific Corporation: holds approximately 24% share driven by high procedural adoption and advanced catheter-based imaging solutions.

Investment Analysis and Opportunities

The Intravascular Ultrasound Market Investment Analysis shows strong capital inflow into imaging-guided cardiovascular technologies, with nearly 65% of investors focusing on minimally invasive diagnostic systems. Around 55% of healthcare infrastructure investments are directed toward catheterization laboratories integrating IVUS systems. Hospital procurement of advanced imaging equipment has increased by approximately 40%, reflecting growing demand for precision-guided interventions. Private healthcare providers account for nearly 35% of total investment activity in this segment.

Opportunities are expanding in emerging markets where IVUS adoption remains below 30% in many regions. Nearly 50% of healthcare expansion projects include cardiovascular imaging capabilities, while 60% of new cardiac centers are expected to integrate IVUS technology. Investment in portable and AI-enabled IVUS systems has increased by approximately 45%, driven by demand for outpatient procedures. Around 70% of manufacturers are focusing on innovation-driven investments, highlighting strong long-term growth potential.

New Products Development

New product development in the Intravascular Ultrasound Market is heavily focused on improving imaging resolution and reducing catheter size. Nearly 60% of newly launched devices feature enhanced imaging clarity improvements of 30% to 40%. Miniaturization trends have reduced device profiles by approximately 20%, enabling easier vascular navigation in complex cases. Around 50% of new systems include hybrid imaging capabilities combining IVUS with optical coherence technologies.

Approximately 45% of manufacturers are investing in AI-powered imaging software to enhance diagnostic accuracy and reduce interpretation time by nearly 35%. Portable IVUS systems now represent around 40% of new product pipelines, targeting outpatient and ambulatory surgical centers. Integration with digital health platforms has increased by approximately 55%, improving procedural workflow efficiency. These innovations are reshaping clinical adoption patterns across global cardiovascular care systems.

Five Recent Developments

• Koninklijke Philips N.V.: Expanded IVUS imaging integration across 35% of newly upgraded catheterization labs, improving procedural imaging accuracy by nearly 30%.
• Boston Scientific Corporation: Introduced advanced catheter-based imaging enhancements increasing lesion detection precision by approximately 25% in high-risk PCI cases.
• Terumo Corporation: Increased adoption of next-generation IVUS catheters by nearly 40% across Asian healthcare facilities focusing on peripheral interventions.
• Siemens Healthineers AG: Integrated hybrid imaging platforms in over 45% of newly installed cardiovascular imaging systems improving workflow efficiency by 35%.
• Conavi Medical Inc.: Expanded AI-assisted imaging solutions contributing to nearly 30% faster diagnostic interpretation in advanced cardiac centers.

Report Coverage Of Intravascular Ultrasound Market

The Intravascular Ultrasound Market Report Coverage provides a comprehensive assessment of market structure, segmentation, regional distribution, and competitive landscape. It includes detailed analysis of type-based segmentation where IVUS catheters account for nearly 55% to 60% of total utilization, followed by consoles at approximately 25% and accessories at nearly 15% to 20%. Application-based coverage highlights coronary intervention as the dominant segment with more than 60% procedural share, followed by diagnostic and peripheral applications contributing significant combined utilization.

Competitive analysis includes leading manufacturers controlling over 50% combined market influence, with strong innovation pipelines focusing on AI integration, portable imaging systems, and hybrid technologies. Around 60% of hospitals are shifting toward IVUS-guided interventions, highlighting increasing clinical adoption. The report also assesses investment trends, showing that nearly 55% of healthcare infrastructure funding is directed toward advanced cardiovascular imaging systems. This comprehensive coverage supports strategic decision-making across manufacturers, healthcare providers, and investors in the global Intravascular Ultrasound Market.