MediPoint: Percutaneous Coronary Interventions - Global Analysis and Market Forecasts

Publisher Name :
Date: 01-Oct-2016
No. of pages: 101

Coronary artery disease (CAD) is a global public health and socioeconomic problem that affects millions of lives each year. Percutaneous coronary interventions (PCIs) such as stenting and angioplasty have been widely adopted worldwide to treat a range of CAD indications. The market for devices used in PCI is a dynamic and competitive one that is saturated with numerous players trying to gain share by developing innovative technologies.

With the recent introduction and rapidly increasing adoption of innovative technologies such as DEB and BAS, an assessment of the impact of these technologies on the CAD management market is needed. Moreover, more clinical data from randomized clinical trials (RCTs) is now emerging that compares the safety and efficacy of these devices compared to conventional interventional treatment options, and which sheds additional light on the future of CAD management.

Global market for percutaneous coronary interventions, including coronary stents, percutaneous transluminal coronary angioplasty (PTCA) balloons, PTCA drug-eluting balloons (DEB), carotid stents, and renal stents, was valued at approximately $6.3 Billion in 2015. The market is expected to grow at a Compound Annual Growth Rate (CAGR) of 3.5% to reach a valuation of $8.1 Billion in 2022.

Emerging stent technologies in the coronary stent market, including bioabsorbable stents (BASes) and the third generation of DESes with biodegradable polymer/polymer-free coatings, aim to address these unmet needs. The third generation of DESes has been developed to eliminate concerns associated with the permanent polymer coating, which is a cause of late and very late stent thrombosis. Drug-eluting BASes represent the fourth generation in the evolution of DES technology. Given that the stent scaffold degrades over a period of time, BASes offer several benefits, including a reduced risk of restenosis, avoiding the implantation of multiple layers of metal inside the vessel, improving the feasibility of future interventions, and enabling for late lumen gain.

Companies such as B. Braun, Biosensors International, Biotronik, and Terumo are key competitors to these large corporations, as they develop innovative coronary stent platforms. As the next generation of DESes and BASes enter the market, the current key players will need to retain and acquire market share by improving the clinical performance of their existing products. In addition, they will need to expand into or increase their presence in the emerging markets in order to take revenue away from their competitors in the future.

The report “MediPoint: Percutaneous Coronary Interventions - Global Analysis and Market Forecasts” focuses on the market outlook for PCI devices in the 39 major markets (39MM): Canada, Mexico, US, Austria, Belgium, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Netherlands, Norway, Poland, Portugal, Russia, Spain, Sweden, Switzerland, Turkey, UK, Australia, China, India, Japan, New Zealand, South Korea, Taiwan, Argentina, Brazil, Chile, Egypt, Israel, Saudi Arabia, South Africa, and United Arab Emirates.

Specifically, this report provides the following:
• Overview of percutaneous coronary interventions, including reimbursement trends and M&A analysis
• Annualized total market revenue by type of device, procedure trends, and market outlooks by country through 2022.
• Comprehensive data split across different stages of development and analysis of emerging trends in design.
• Analysis of the current and future market competition in the global percutaneous coronary interventions market. Insightful review of the key industry drivers, opportunities, barriers and challenges.

Companies mentioned in this report: Aachen Resonance, Abbott Vascular, Alvimedica, amg International, B. Braun, Balton , Biosensors International, Biotronik, Blue Medical, Boston Specific, Cardionovum, Concept Medical, Disa Vascular, Elixir Medical, Eucatech, Eurocor, Hexacath, InSitu Technologies, Iramed, ITGI Medical, JW Medical Systems, Kyoto Medical Planning, Lepu Medical Technology, Medinol, Medtronic ,Meril Life Sciences, Micell Technologies, MicroPort, Minvasys, MIV Therapeutics, OrbusNeich, Relisys , Rontis Medical, Sahajanand Medical Technologies, Stentys, Svelte Medical Systems, Terumo, Translumina, Tryton Medical, Vascular Concepts.

MediPoint: Percutaneous Coronary Interventions - Global Analysis and Market Forecasts

Table of Contents

1 Table of Contents 5
1.1 List of Tables 8
1.2 List of Figures 10

2 Introduction 11
2.1 Catalyst 11
2.2 Related Reports 12

3 Market Access 13
3.1 Reimbursement Trends 13
3.1.1 North America 13
3.1.2 Europe 16
3.1.3 Asia-Pacific 17
3.1.4 South America 20
3.1.5 Middle East and Africa 21
3.2 Mergers and Acquisitions/Key Partnerships 23

4 Unmet Needs and Market Opportunity Analysis 24
4.1 Improving Clinical Outcomes in Complex Coronary Indications 24
4.1.1 Bifurcation Lesions 25
4.1.2 Chronic Total Occlusions 26
4.1.3 Heavily Calcified Lesions 27
4.1.4 Unprotected Left Main Coronary Artery Lesions 27
4.1.5 Acute Myocardial Infarction 28
4.1.6 Saphenous Vein Grafts 28
4.1.7 Small Vessel Lesions 29
4.2 Minimizing Late Stent Thrombosis Incidence 29
4.3 Procedure Optimization 29
4.4 Reducing Repeat Revascularization Rates 30

5 Competitive Assessment 32
5.1 Market Share Analysis 32
5.2 Key Companies and Product Profiles 34
5.2.1 Abbott Vascular 34
5.2.2 B. Braun 37
5.2.3 Biosensors International 41
5.2.4 Biotronik 45
5.2.5 Boston Scientific 49
5.2.6 Medtronic 53
5.2.7 Terumo 56
5.2.8 Other Players 58
5.3 Pipeline Products Assessment 61
5.4 Clinical Trials Assessment 64

6 Market Outlook 65
6.1 Procedure Trends 65
6.2 Global Market Drivers and Barriers 66
6.2.1 Driver: Rising Disease Prevalence 66
6.2.2 Driver: Launch of Bioabsorbable Stents on a Global Scale 67
6.2.3 Driver: Reducing Need for Antiplatelet Therapy 67
6.2.4 Barrier: Risk of Perioperative Adverse Cardiac Events Post-Stenting 68
6.2.5 Barrier: Post-ProceduraI Complications of Drug-Eluting Stenting 68
6.2.6 Barrier: Concerns Regarding Overstenting 69
6.3 Market Outlooks by Segment 70
6.3.1 Coronary Stents 70
6.3.2 Percutaneous Transluminal Coronary Angioplasty Balloons 72
6.3.3 Percutaneous Transluminal Angioplasty Drug-Eluting Balloons 74
6.4 Market Outlooks by Geography 74
6.4.1 Global Overview 74
6.4.2 North America 76
6.4.3 Europe 77
6.4.4 Asia-Pacific 78
6.4.5 South America 80
6.4.6 Middle East and Africa 81

7 Appendix 82
7.1 Bibliography 82
7.2 Abbreviations 92
7.3 Methodology 95
7.3.1 Overview 95
7.3.2 Coverage 95
7.3.3 Secondary Research 95
7.4 Forecasting Methodology 96
7.5 Primary Research Summary 96
7.6 About the Authors 98
7.6.1 Premdharan Meyyan, Cardiovascular Analyst, Medical Devices 98
7.6.2 Linda Tian, Msc, Managing Analyst, Medical Devices 98
7.6.3 Tyler Fletcher, Global Head of Medical Devices 99
7.7 About GlobalData 100
7.8 Disclaimer 100

List of Tables

Table 1: Medicare National Average of Inpatient Hospital Reimbursement for Percutaneous Coronary Interventions, 2015-2016 15
Table 2: Hospital Outpatient Reimbursement for Percutaneous Coronary Interventions, 2015 16
Table 3: Key Mergers, Acquisitions, and Partnerships in Percutaneous Coronary Interventions Market 23
Table 4: Complex Coronary Indications and Estimated Incidence 24
Table 5: Abbott Vascular - Company SWOT Analysis 34
Table 6: Abbott Vascular - Marketed Products Assessment 35
Table 7: B. Braun - Company SWOT Analysis 38
Table 8: B. Braun - Marketed Products Assessment 39
Table 9: Biosensors International - Company SWOT Analysis 42
Table 10: Biosensors International - Marketed Products Assessment 43
Table 11: Biotronik - Company SWOT Analysis 46
Table 12: Biotronik - Marketed Products Assessment 47
Table 13: Boston Scientific - Company SWOT Analysis 50
Table 14: Boston Scientific - Marketed Products Assessment 51
Table 15: Medtronic - Company SWOT Analysis 53
Table 16: Medtronic - Marketed Products Assessment 54
Table 17: Terumo - Company SWOT Analysis 57
Table 18: Terumo - Marketed Products Assessment 57
Table 19: Other Players Assessment 59
Table 20: Pipeline Products Assessment 61
Table 21: Clinical Trials Assessment 64
Table 22: Global Percutaneous Coronary Interventions Procedures Forecast ($m), 2013-2022 66
Table 23: Global Coronary Stents Market Forecast ($m), 2013-2022 70
Table 24: Global PTCA Balloons Market Forecast ($m), 2013-2022 72
Table 25: Global PTCA DEB Market Forecast ($m), 2013-2022 74
Table 26: Global Coronary Stents Market Forecast ($m), 2013-2022 75
Table 27: North America PCI Market Forecast ($m), 2013-2022 77
Table 28: Europe PCI Market Forecast ($m), 2013-2022 78
Table 29: Asia-Pacific Percutaneous Coronary Interventions Market Forecast ($m), 2013-2022 79
Table 30: South America PCI Market Forecast ($m), 2013-2022 80
Table 31: Middle East & Africa PCI Market Forecast ($m), 2013-2022 81

List of Figures

Figure 1: Proportion of Patients Undergoing Repeat Revascularization, by Revascularization Subtype 31
Figure 2: 10MM Market Shares for Coronary Stents, by Country, 2015 33
Figure 3: Global PCI Procedures Forecast, by Region, 2013-2022 65
Figure 4: Global Coronary Stents Market Forecast ($m), 2013-2022 70
Figure 5: Coronary Stents Market Comparison, by Segment, 2015 and 2022 71
Figure 6: Global PTCA Balloons Market Forecast ($m), 2013-2022 72
Figure 7: PTCA Balloons Market Comparison, by Segment, 2015 and 2022 73
Figure 8: Global PTCA DEB Market Forecast ($m), 2013-2022 74
Figure 9: Global PCI Market Forecast ($m), by Region, 2013-2022 75
Figure 10: North America PCI Market Forecast ($m), by Segment, 2013-2022 76
Figure 11: Europe PCI Market Forecast ($m), by Segment, 2012-2022 78
Figure 12: APAC PCI Market Forecast ($m), by Segment, 2013-2022 79
Figure 13: South America PCI Market Forecast ($m), by Segment, 2013-2022 80
Figure 14: Middle East & Africa PCI Market Forecast ($m), by Segment, 2013-2022 81
Figure 15: Percutaneous Coronary Survey Primary Research Participants, by Country 97

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