EU MediPoint Coronary Stents Industry Analysis and Market Forecasts
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MediPoint: Coronary Stents - Current and Future Players
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Players to their report store.
The global coronary stents market is a dynamic, double-digit market that is saturated
with numerous players developing innovative technologies. Rapid advances in the field
of interventional cardiology along with the development of minimally invasive
techniques have greatly expanded the potential of therapeutic applications. Coronary
stents including bare metal, drug-eluting, covered and bioabsorbable stents can be
used to treat coronary artery disease, and optimize outcomes.
The coronary stents market in the EU has an overall negative CAGR of 0.5% over the
forecast period from 2011-2020. Similar to the US, the DES market in the EU has the
largest share, where the DES market is four times that of the BMS market. Moving
forward, GlobalData believes that the DES market will grow slowly due to the improved
outcomes, the development of low-profile systems and the next generation of DES, and
cost-savings due to the reduced need for repeat intervention.
In the EU, there is a strong dependency on reimbursement, which can vary between
nations. German reimbursement has generally been strong for medical devices, and
has been less of a problem. However, the other countries are keen to follow clinical
outcomes carefully for adoption and product usage in order to obtain reimbursement.
An overview of Coronary Stents, which includes epidemiology, etiology,
symptoms, diagnosis, pathology and treatment guidelines.
Annualized EU Coronary Stents market revenue and future forecasts from 2011
to 2013, forecast for 7 years to 2020.
Investigation of current and future market competition for Coronary Stents.
Insightful review of the key industry drivers, restraints and challenges as well as
predicted impact of key events.
Competitor assessment including device approval analysis and device sales
Marketed and pipeline product profiles covering efficiency, safety, clinical study
details, device approvals, product positioning and device sales forecast.
Analysis of unmet needs within the market and opportunities for future players.
Technology trends evaluation to assess strength of pipeline.
An overview of all devices in development including clinical study details, design
and material selection considerations, efficacy reports, and device approval
Company profiles including business description, financial overview and SWOT
Coverage of key market players.
Strategic assessment of the Coronary Stents sector through market impact
analysis, future market scenario and company analysis.
Direct quotes from Key Opinion Leaders (KOL) as well as doctors
For more details MediPoint: Coronary Stents - Current and Future Players
report, please visit: http://www.marketresearchstore.com/report/medipoint-
Reasons to Buy
DUnderstand the trends shaping and driving the EU Coronary Stents market.
Realize device preferences of physicians who have performed the tests already.
Access market sizing, forecasts and quantified growth opportunities in the US
Coronary Stents market through 2018.
Quantify candidate patient populations to better design product pricing & launch
Drive revenues, formulate effective sales and marketing strategies and gain in-
depth understanding of the competitive landscape.
Perform benchmarking analysis of growth opportunities against currently
Assess competitiveness of products in market by understanding the strengths
and weaknesses of current competition.
Take a comprehensive look at the markets device pipeline and identify
promising, paradigm-shifting products.
Create an effective counter-strategy to gain a competitive advantage against
those currently in the market.
Organize your sales and marketing efforts by identifying the market categories
and segments that present the best opportunities for growth.
Whats the next big thing in the EU Coronary Stents market landscape? Identify,
understand and capitalize.
1 Table of Contents
1 Table of Contents 8
1.1 List of Tables 16
1.2 List of Figures 23
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2 Introduction 25
2.1 Catalyst 26
2.2 Related Reports 27
3 Industry Overview 28
3.1 Disease Overview 28
3.2 Clinical Outcomes 29
3.2.1 Treatment Guidelines 29
3.2.2 Treatment Modalities 30
3.3 Procedure Trends 44
3.3.1 European Union 45
3.4 Market Access 47
3.4.1 Regulatory Process 48
3.4.2 Physician Decision-Making Process 49
3.4.3 Role of Group Purchasing Organizations 53
3.4.4 Lack of Clinical Data 56
3.4.5 Regional-Level Control 58
3.4.6 Cost Considerations 58
3.4.7 Reimbursement Trends 59
3.5 Regulatory Issues/Recalls 64
3.5.1 Regulatory Issues 64
3.5.2 Product Recalls 65
3.6 Mergers and Acquisitions/ Key Partnerships 65
3.6.1 Medtronic and Covidien 65
3.6.2 Arterial Remodeling Technologies and Terumo Corporation 66
3.6.3 MicroPort Scientific Corporation and Cordis Corporation 66
3.6.4 Alvimedica and CID 67
3.6.5 ITGI Medical and Vascular Solutions 67
3.6.6 Terumo Corporation and Onset Medical Corporation 67
3.6.7 Atrium Medical and Getinge Group 68
3.6.8 C.R. Bard and ClearStream Technologies 68
3.6.9 Biosensors International and Devax, CardioMind, and JW Medical Systems 69
3.6.10 CeloNova Biosciences and Nexeon MedSystems 70
3.6.11 Medtronic and Invatec 70
3.6.12 Micell Technologies and Maxcor Lifescience 71
3.6.13 Boston Scientific Corporation and Guidant Corporation 71
3.6.14 Abbott Vascular and Guidant Corporation 71
3.6.15 Kaneka Corporation and Fujisawa Pharmaceuticals 72
3.7 Economic Impact of Coronary Artery Disease 72
3.7.1 European Union 73
3.8 Treatment Costs for Coronary Artery Disease 74
4 Unmet Needs 76
4.1 Need for Better Clinical Outcomes in Specific Lesions 76
4.1.1 Chronic Total Occlusions 76
4.1.2 Small-Vessel Coronary Lesions 77
4.1.3 Heavily-Calcified and Uncrossable/Undilatable Lesions 78
4.1.4 Bifurcation Lesions 78
4.1.5 Saphenous Vein Graft Intervention 79
4.2 Eliminating Mechanisms of Failure With Balloon Angioplasty 80
4.3 Late Myocardial Infarction After Stenting 80
4.4 Eliminating the Permanent Polymer 81
4.5 In-Stent Restenosis 82
4.6 Stent-In-Stent Procedures 84
4.7 Prolonged Dual Antiplatelet Therapy 85
4.8 Lack of Homogenous Drug Distribution 86
4.9 Delayed Stent Endothelialization 86
4.10 Negative Vessel Remodeling 87
4.11 Need for Effective Therapy for Specific Patient Populations 87
4.12 Addressing the Complications of Coronary Artery Bypass Grafting 88
5 Market Opportunity Analysis 89
5.1 Improve Stent Design/Platform 89
5.1.1 Stent Coating Technology 90
5.1.2 Bioabsorbable Stent Technology 92
5.1.3 Antiproliferative Drug and Elution Kinetics 93
5.2 Hybrid Stent Systems 95
5.3 Effective Therapies for Challenging Coronary Indications 96
5.3.1 Chronic Total Occlusions 96
5.3.2 Small-Vessel Disease 96
5.3.3 Bifurcation Lesions 97
5.3.4 Diffuse Atherosclerotic Disease 98
5.3.5 Saphenous Vein Graft Intervention 98
5.3.6 Acute Myocardial Infarction 98
5.4 Target Challenging Patient Populations 99
5.5 Emerging Markets 100
6 Market Drivers, Barriers, and Substitutes 101
6.1 Market Drivers 101
6.1.1 Rising Prevalence of Disease 102
6.1.2 Viable Treatment for Challenging Coronary Indications 103
6.1.3 Innovations in Stent Technology 104
6.1.4 Development of Bioabsorbable Stents 106
6.1.5 Reduce the Need for Prolonged Dual Antiplatelet Therapy 108
6.1.6 Potential Cost Savings 109
6.1.7 Use of Imaging Modalities for Accurate Stent Placement 110
6.1.8 Adoption of Stents in the Emerging Markets 110
6.1.9 Launch of Bioabsorbable Stents in US and Japan 111
6.2 Market Barriers 111
6.2.1 Concerns Regarding Overstenting 111
6.2.2 Post-ProceduraI Complications of Drug-Eluting Stenting 112
6.2.3 Risk of Perioperative Adverse Cardiac Events Post-Stenting 112
6.2.4 Slow Adoption of Bioabsorbable Stents 113
6.2.5 Lack of Reimbursement 118
6.2.6 Healthcare Cost-Cutting and Reimbursement 119
6.2.7 Availability of Venture Capital 120
6.2.8 Medical Device Excise Tax 1