India Peripheral Artery Disease (PAD) Treatment Market Size, Share, Trends and Forecasts 2031

Key Findings

• The India Peripheral Artery Disease (PAD) Treatment Market is expanding rapidly due to increasing prevalence of atherosclerosis, diabetes, and hypertension among aging populations.

• Rising adoption of endovascular therapies, including angioplasty and stent implantation, is improving limb salvage rates and reducing amputation risks in India.

• Technological advancements in imaging, drug-eluting stents, and minimally invasive revascularization procedures are revolutionizing treatment strategies.

• Growing awareness of early PAD diagnosis through ankle-brachial index (ABI) and duplex ultrasound testing is improving patient outcomes.

• Pharmaceutical advancements in antiplatelet, anticoagulant, and lipid-lowering agents are enhancing long-term vascular health management.

• Expansion of tele-vascular care and remote patient monitoring is facilitating continuous follow-up and reducing hospital readmissions.

• Government programs promoting cardiovascular screening and smoking cessation are driving early intervention and treatment adoption.

• Collaboration between device manufacturers, hospitals, and research institutions is accelerating innovation across the PAD treatment landscape in India.

India Peripheral Artery Disease (PAD) Treatment Market Size and Forecast

The India PAD Treatment Market is projected to grow from USD 5.2 billion in 2025 to USD 10.4 billion by 2031, at a CAGR of 12.0% during the forecast period. Rising incidence of diabetes, obesity, and chronic smoking habits are major contributors to disease progression. Growing utilization of drug-coated balloons (DCBs) and bioresorbable vascular scaffolds (BVS) is improving long-term patency rates. The introduction of novel pharmacological therapies, particularly dual antiplatelet therapy (DAPT) and novel oral anticoagulants (NOACs), is reducing thrombotic complications. Furthermore, integration of telehealth and remote vascular care is enhancing post-treatment monitoring and adherence. The increasing number of vascular care centers and technological advancements in hybrid surgical techniques are solidifying India’s position as a key market for PAD management.

Introduction

Peripheral Artery Disease (PAD) is a chronic circulatory condition caused by arterial narrowing, primarily due to atherosclerosis, leading to reduced blood flow to the limbs. The disease manifests as intermittent claudication, pain, and in severe cases, critical limb ischemia (CLI). In India, PAD has become a major public health concern, linked closely with lifestyle-related risk factors such as smoking, diabetes, and hyperlipidemia. Delayed diagnosis often results in severe complications and increased healthcare costs. However, improvements in vascular imaging, minimally invasive interventions, and combination pharmacotherapies are transforming disease management. Hospitals and clinics are adopting multidisciplinary care models that integrate diagnostics, pharmacology, and surgery for comprehensive PAD management.

Future Outlook

By 2031, the India PAD Treatment Market will evolve into a precision-driven, minimally invasive, and technology-enhanced domain. Continuous innovation in catheter-based and endovascular therapies will reduce procedural risks and recovery times. Artificial intelligence (AI)-assisted imaging and diagnostic platforms will enhance lesion characterization and treatment planning. Regenerative medicine approaches, including stem cell therapy and angiogenic gene therapy, are expected to gain prominence in refractory cases. Integration of wearable health devices and mobile applications for vascular health monitoring will drive patient engagement and early intervention. With growing focus on preventive cardiology and government-backed health initiatives, India will emerge as a leading regional hub for PAD treatment and innovation.

India Peripheral Artery Disease (PAD) Treatment Market Trends

• Rising Adoption of Minimally Invasive Endovascular Therapies
  The shift toward less invasive treatments such as percutaneous transluminal angioplasty (PTA), drug-coated balloon angioplasty, and stent implantation is transforming PAD care in India. These procedures offer shorter recovery times, fewer complications, and higher patient satisfaction compared to open surgery. Hybrid operating rooms combining imaging and surgical technologies are becoming standard in tertiary hospitals. As device reliability and operator expertise improve, endovascular therapies are expected to dominate future PAD interventions.

• Emergence of Drug-Eluting and Bioresorbable Stents
  The introduction of next-generation drug-eluting stents (DES) and bioresorbable scaffolds has revolutionized long-term vessel patency and reduced restenosis rates. In India, vascular specialists are increasingly adopting these technologies for complex lesions and diabetic patients. Advances in coating materials and polymer-free designs are enhancing biocompatibility and drug release control. Continuous innovation in stent architecture is expected to significantly improve procedural success rates and durability of outcomes.

• Integration of Digital Health and Remote Vascular Monitoring
  Digitalization of vascular care in India is enabling remote disease monitoring through wearable blood flow sensors and telehealth consultations. Mobile health applications allow patients to track symptoms, walking distance, and medication adherence. Physicians can assess data remotely and adjust therapies in real time, improving management of chronic PAD. This technology-driven approach reduces follow-up visits and enhances patient quality of life, especially in rural regions with limited vascular specialists.

• Increased Research in Regenerative and Angiogenic Therapies
  Clinical research in India is focusing on biologic and cell-based therapies to stimulate angiogenesis and improve perfusion in ischemic limbs. Stem cell-derived growth factors and gene therapy targeting vascular endothelial growth factor (VEGF) pathways show promising results in preclinical studies. Pharmaceutical collaborations are accelerating clinical trials for therapeutic angiogenesis, potentially offering disease-modifying solutions for severe PAD cases.

• Expansion of Pharmacological Management Options
  The therapeutic landscape in India is broadening with combination antiplatelet, antithrombotic, and lipid-lowering therapies. Drugs such as rivaroxaban, cilostazol, and statins are widely used to manage thrombosis and vascular inflammation. Pharmaceutical innovation is producing novel oral agents that reduce adverse bleeding risks while maintaining efficacy. Clinical integration of pharmacogenomic testing is also enhancing personalized drug selection and dosing precision.

Market Growth Drivers

• Increasing Prevalence of Diabetes and Cardiovascular Risk Factors
  Rising rates of diabetes, hypertension, and hyperlipidemia in India are major contributors to PAD prevalence. These conditions accelerate atherosclerosis and vascular inflammation, necessitating chronic management. Public health campaigns promoting early screening and lifestyle modification are expanding the treated patient population, boosting market demand for both drugs and devices.

• Advancements in Vascular Imaging and Diagnostic Technologies
  The development of duplex ultrasonography, CT angiography, and magnetic resonance angiography (MRA) has improved diagnostic accuracy for PAD in India. AI-powered image analysis tools enhance early detection and precise lesion localization. Portable ABI testing kits and point-of-care diagnostics are also facilitating early community-level screening, supporting preventive treatment adoption.

• Growing Adoption of Endovascular and Hybrid Surgical Techniques
  Hospitals and vascular centers in India are increasingly equipped with hybrid suites that allow simultaneous imaging and intervention. These facilities enable complex procedures such as combined bypass and angioplasty, improving outcomes for advanced PAD cases. Increased training of interventional radiologists and vascular surgeons is further driving procedural volumes and technology adoption.

• Expansion of Preventive Healthcare and Screening Programs
  Government and private sector initiatives promoting cardiovascular risk screening are increasing PAD detection rates. National heart health programs and insurance coverage for vascular assessments are improving access to care. The emphasis on early intervention is reducing severe disease progression and expanding the market for therapeutic and preventive treatments alike.

• Increased Investment in Research and Clinical Development
  Pharmaceutical and medical device companies in India are actively investing in R&D to develop new drugs, coated devices, and regenerative therapies. Collaborative studies between academic institutions and hospitals are generating region-specific clinical data, supporting faster regulatory approvals. This investment wave is positioning India as a hub for innovation in vascular medicine.

Challenges in the Market

• High Cost of Advanced Therapeutic Devices and Procedures
  Despite technological improvements, the cost of drug-eluting stents, balloons, and hybrid procedures remains high in India. Limited reimbursement coverage and income disparities restrict access for many patients. Promoting local manufacturing and pricing reforms is essential to make advanced treatment options more affordable and equitable.

• Underdiagnosis and Lack of Awareness
  PAD often remains asymptomatic in early stages, leading to delayed diagnosis. In India, awareness among primary healthcare providers and the general public remains low, especially in rural regions. Educational campaigns and regular vascular screenings are required to reduce undiagnosed cases and enable early management.

• Complications and Restenosis Risk
  Despite progress in stent and balloon technologies, restenosis and reocclusion remain clinical challenges. Patients with diabetes and chronic kidney disease face higher procedural risk and recurrence. Continuous innovation in device coatings, anti-inflammatory drugs, and post-procedure care protocols is needed to mitigate these risks.

• Shortage of Trained Vascular Specialists
  A limited number of vascular surgeons and interventional cardiologists in India constrain procedural capacity. Specialized training programs and skill development initiatives are required to meet the growing demand for endovascular interventions. Telemedicine-based specialist consultations may help bridge access gaps in remote areas.

• Regulatory and Reimbursement Limitations
  Complex and lengthy regulatory approval processes slow the introduction of new vascular devices and drugs. Moreover, inconsistent reimbursement policies for diagnostic and therapeutic procedures create financial barriers for both patients and providers. Streamlined regulatory reforms will be crucial to support market growth.

India Peripheral Artery Disease (PAD) Treatment Market Segmentation

By Treatment Type

• Medications

  • Antiplatelet Drugs

  • Anticoagulants

  • Cholesterol-Lowering Drugs

  • Vasodilators

• Endovascular Interventions

  • Angioplasty

  • Stenting

  • Atherectomy

  • Drug-Coated Balloon Angioplasty

• Surgical Treatment

  • Bypass Surgery

  • Endarterectomy

• Others

By Disease Stage

• Intermittent Claudication

• Critical Limb Ischemia (CLI)

By End-User

• Hospitals and Vascular Centers

• Specialty Clinics

• Ambulatory Surgical Centers

• Homecare and Telehealth Platforms

By Distribution Channel

• Hospital Pharmacies

• Retail Pharmacies

• Online Pharmacies

Leading Key Players

• Abbott Laboratories

• Medtronic plc

• Boston Scientific Corporation

• BD (Becton, Dickinson and Company)

• Terumo Corporation

• Cook Medical LLC

• Philips Healthcare

• Bayer AG

• AstraZeneca plc

• Janssen Pharmaceuticals (Johnson & Johnson)

Recent Developments

• Abbott Laboratories launched a new generation of drug-coated balloons in India to improve long-term patency in femoropopliteal artery interventions.

• Medtronic plc received regulatory approval in India for its next-generation bioresorbable scaffold designed for small vessel revascularization.

• Boston Scientific Corporation collaborated with hospitals in India to expand access to digital intravascular imaging for complex PAD cases.

• Bayer AG introduced an updated dual-pathway antithrombotic regimen in India to prevent secondary thrombotic events in PAD patients.

• Philips Healthcare expanded its AI-driven vascular imaging solutions in India to support real-time lesion assessment and intervention guidance.

This Market Report Will Answer the Following Questions

1. What is the projected size and growth rate of the India Peripheral Artery Disease (PAD) Treatment Market by 2031?

2. Which treatment modalities and technologies are leading innovations in PAD management across India?

3. How are digital health, imaging, and regenerative therapies shaping the future of PAD care?

4. What challenges are limiting accessibility, affordability, and early diagnosis of PAD in India?

5. Which pharmaceutical and medical device companies are driving the development of next-generation PAD treatments in India?