Tracheobronchial stent grafts are used in management of lumen collapse or to prevent collapse after tracheobronchial reconstruction procedure, after trauma or lesions, airway obstruction etc. tracheobronchial stent-graft is a self-expanding stent generally made of nitinol mesh wire and encapsulated within two ultra-thin layers of expanded polytetrafluoroethylene (ePTFE). Moreover, number of benign and malignant conditions can cause tracheobronchial narrowing or collapse which can lead to symptomatic and life-threatening dyspnea. Tracheobronchial stent graft system is mainly approved for use in treatment of in-stent restenosis in venous outflow in hemodialysis patients. The first tracheobronchial stent graft system ‘Fluency’ was introduced in 2003 by C.R. Bard Inc. In 2005, W. L. Gore & Associates launched VIABAHN in the U.S. for use in treatment of tracheobronchial strictures. Both of these systems witnessed positive response from physicians and patients. Now-a-days, these devices are available in ling delivery sheaths or catheters necessary for placement of tracheobronchial stent graft.

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Drivers and Restraints
Increasing prevalence of chronic lung disorders such as tuberculosis and benign or malignant tumors are the foremost factor driving the growth of global tracheobronchial stent grafts market over the forecast period. Besides, easy and efficient procedure is the other factor expected to flourish the global tracheobronchial stent grafts market However, limited product approvals for tracheobronchial stent grafts in Europe. And alternative treatment options for tracheobronchial strictures are the important factors limiting the growth of global tracheobronchial stent grafts market.

Market: Overview
Recent approval of Fluency Plus brings new hope to patients suffering from chronic lung diseases that cause airway obstruction. These device is expected to gain rapid adoption by patients as it is minimally invasive procedure and involves less risk that other approaches used for management of tracheobronchial strictures. The global market for tracheobronchial stent grafts is expected to grow significantly with high single digit growth rate over the forecast period of 2017–2027.

Regional Outlook
Geographically, tracheobronchial stent grafts market is classified into regions viz. North America, Latin America, Western Europe, Eastern Europe, Asia-Pacific, Japan, Middle East and Africa. North America is expected to dominate global tracheobronchial stent grafts market over the forecast period. Japan is expected to be the second largest market for tracheobronchial stent grafts. Despite the fact that tracheobronchial stent graft systems are being used since 2003, these systems are approved for clinical use only in the U.S., Canada and Japan. Key player in tracheobronchial stent grafts market is are trying to obtain regulatory approval in Europe in order to capture growing patient volume for chronic lung diseases.

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Key Players
So far BARD Peripheral Vascular. Inc. – a subsidiary of C.R. Bard Inc., and W. L. Gore & Associates are the only player operating in the global market for tracheobronchial stent graft systems. Bard offers Fluency and Fluency Plus tracheobronchial stent grafts in North America and Japan. Some of the other systems such as Symbiot and Corvita Endoluminal Stent-Graft were being studied in the Europe but unfortunately they failed to meet required clinical end points and never came to market.