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2008/09 Interventional Angiography Lab Market Summary Report

IMV Medical Information Division, Inc.
July 1, 2009
110 Pages - SKU: TMG2777818

Abstract Table of Contents Related Reports

This report summarizes data from a survey conducted by IMV Medical Information Division from October 2008 through May 2009, covering the nation's 150+ bed hospitals that perform non-coronary interventional angiography procedures in their radiology department or in a dedicated angiography department. Based on interviews with 628 locations, this report projects the data to our identified universe of 1,719 U.S. sites, profiling major trends in interventional angiography utilization and purchasing decisions. The report covers national trends in procedure volumes by major procedure categories, features and manufacturers of installed equipment, equipment buying plans, networking plans, contrast media utilization and suppliers, operational budgets and staffing levels.

I. Objectives.
II. Executive Summary
III. Methodology
IV. Findings....: A. Procedure Volume; B. Angiography X-ray System Installed Base; C. Angiography X-ray System Purchase Plans & IMV Market Forecast Scenarios; D. Contrast Agent Budgets and Utilization; E. Power Injectors for Angio Contrast; F. Angiography Lab Operations Characteristics
EXHIBITS
A. Procedure Volume: 1. Distribution of Angio Sites, Procedures and Patient Visits, by Hospital Bed Size, 2008; 2. Trend in Total Angiography Lab Procedure Volume, for Hospitals with 150+ Beds, 1998-2008; 3. Distribution of Angio Lab Sites, by Angio Procedure Ranges, by Hospital Bed Size, 2008; 4. Average Annual Angiography Lab Procedures per Site, by Hospital Bed Size, 2000-2008; 5. Total Angio Sites and Average Annual Procedures per Site, 2000-2008; 6. Distribution of Angiography Lab Procedure Volume, by Procedure Type, 2008; 7. Distribution of Angiography Lab Procedure Volume, by Procedure Type, by Hospital Bed Size, 2008; 8. Distribution of Angiography Lab Procedure Volume, by Procedure Type, 1998-2008; 9. Percent of Angio Sites Performing Specified Procedures, by Procedure Type, by Hospital Bed Size, 2008; 10. Number of Angio Sites Performing Specified Procedures and Mean Annual Procedures per Site Performing, 2008; 11. Diagnostic vs. Therapeutic Non-Coronary Angiography Procedure Mix, 1998-2008; 12. Distribution of Diagnostic vs. Therapeutic Non-Coronary Angiography Procedure Volume, by Hospital Bed Size, 2008; 13. Percent of Sites Performing Diagnostic and Therapeutic Non-Coronary Angiography Procedures, by Hospital Bed Size, 2008; 14. Number of Sites Performing Diagnostic vs. Therapeutic Non-Coronary Angiography Procedures and Mean Annual Procedures per Site Performing, 2008; 15. Mean Annual Diagnostic vs. Therapeutic Non-Coronary Angiography Procedures per Site, 2000-2008; 16. Diagnostic Non-Coronary Angiography Procedure Volume, by Procedure Type, 2008; 17. Diagnostic Non-Coronary Angiography Procedure Mix, 2008; 18. Diagnostic Non-Coronary Angiography Procedure Mix, by Hospital Bed Size, 2008; 19. Diagnostic Non-Coronary Angiography Procedure Mix, 2000-2008; 20. Number of Sites Performing Diagnostic Angiographic Procedures and Mean Annual Procedures per Site Performing, 2008; 21. Therapeutic Non-Coronary Angiography Procedure Volume, by Procedure Type, 2008; 22. Therapeutic Non-Coronary Angiography Procedure Mix, 2008; 23. Therapeutic Non-Coronary Angiography Procedure Mix, by Hospital Bed Size, 2008; 24. Therapeutic Non-Coronary Angiography Procedure Mix, 2000-2008; 25. Number of Sites Performing Therapeutic Angiographic Procedures and Mean Annual Procedures per Site Performing, 2008; 26. Therapeutic Non-Coronary Angioplasty Procedure Volume, by Procedure Type, 2008; 27. Therapeutic Non-Coronary Angioplasty Procedure Mix, 2008; 28. Therapeutic Non-Coronary Angioplasty Procedure Mix, by Hospital Bed Size, 2008; 29. Therapeutic Non-Coronary Angioplasty Procedure Mix, 2001-2008; 30. Number of Sites Performing Angioplasty Procedures and Mean Annual Procedures per Site Performing, 2008; 31. Therapeutic Non-Coronary Stent Procedure Volume, by Procedure Type, 2008; 32. Therapeutic Non-Coronary Stent Procedure Mix, 2008; 33. Therapeutic Non-Coronary Stent Procedure Mix, by Hospital Bed Size, 2008; 34. Therapeutic Non-Coronary Stent Procedure Mix, 2001-2008; 35. Number of Sites Performing Stent Procedures and Mean Annual Procedures per Site Performing, 2008; 36. Volume of Specific Stents Used with Non-Coronary Angiography Procedures, 2008; 37. Number of Angio Sites Using Selected Stents, and Average Annual Stents per Site, by Stent Type; 38. Percent of Angio Sites Performing Pediatric Procedures, by Hospital Bed Size, as of 2008/09 Census Study; 39. Trend in Percent of Pediatric vs. Adult Angiography Procedures, 1998-2008; 40. Distribution of Angio Sites, Total Angio Procedures and Pediatric Procedures, by Hospital Bed Size, 2008; 41. Number of Angio Sites Performing Pediatric Procedures and Mean Annual Procedures per Site Performing, by Hospital Bed Size, 2008; 42. Percent of Angio Sites Performing Emergency Procedures, by Hospital Bed Size, 2008; 43. Percent of Angiography Procedures that are Emergency Procedures, 1998-2008; 44. Distribution of Angio Sites, Total Angio Procedures and Emergency Procedures, by Hospital Bed Size, 2008; 45. Number of Angio Sites Performing Emergency Procedures and Mean Annual Procedures per Site Performing, by Hospital Bed Size, 2008; 46. Angio Inpatient vs. Outpatient Mix, by Hospital Bed Size, 2008; 47. Trend in Inpatient vs. Outpatient Mix, 1998-2008; 48. Percent of Angio Sites Performing Chemoembolization Procedures, by Hospital Bed Size, 2008; 49. Percent of Angio Sites Performing Radioembolization Procedures, by Hospital Bed Size, 2008; 50. Estimates of Annual Interventional Angiography Lab Procedure Volume, 1998-2008
B. Angiography X-ray System Installed Base: 1. Distribution of Angiography Sites and Angio Systems, as of 2008/09 Census; 2. Percent of Universe of 150+ Bed Hospitals with Angiography Labs, by Hospital Bed Size, as of 2008/09 Census; 3. Distribution of Sites, by Number of Angiography Systems, by Hospital Bed Size, as of 2008/09 Census; 4. Percent Distribution of Angiography X-ray System Installed Base, by Manufacturer, as of 2008/09 Census; 5. Distribution of Angiography X-ray System Installed Base, by Manufacturer, by Census Year, 2000/01 to 2008/09; 6. Angiography X-ray System Installed Base Share, by Hospital Bed Size, as of 2008/09 Census; 7. Sites Having at Least One Angiography X-ray System, by Manufacturer, as of 2008/09 Census; 8. Angiography X-ray System Installed Base, by Year of Installation, as of 2008/09 Census; 9. Angiography X-ray System Installed Base Market Share, by Year of Installation, from 2003 to 2008, as of 2008/09 Census; 10. Mix of Single vs. Bi-Plane Systems, by Hospital Bed Size, as of 2008/09 Census; 11. Trend in Mix of Installed Single vs. Bi-Plane Angiography X-ray Systems, in Hospitals with 150+ Beds, by Census Year, 1998/99 to 2008/09; 12. Angiography X-ray System Installed Base Market Share, by Single vs. Bi-Plane Systems, as of 2008/09 Census; 13. Mix of Angiography X-ray Systems with Image Intensifiers or Flat Panel Digital Detectors, by Hospital Bed Size, as of 2008/09 Census; 14. Trend in Mix of Angio Systems with Image Intensifiers or Flat Panel Digital Detectors, by Year of Installation, from 2003 to 2008, as of 2008/09 Census; 15. Trend in Mix of Angio Systems with Image Intensifiers or Flat Panel Digital Detectors, by Census Year, 2004/05 to 2008/09; 16. Size of Flat Panel Detector, by Hospital Bed Size, as of 2008/09 Census; 17. Size of Flat Panel Detector, by Single vs. Bi-Plane C-arm Configuration, as of 2008/09 Census; 18. Size of Non-Lateral Panel Detector in Angio Units with Single vs. Bi-Plane C-arms, as of 2008/09 Census; 19. Mix of Angiography X-ray Systems with Digital Subtraction Capability, by Hospital Bed Size, as of 2008/09 Census; 20. Trend in Mix of Angio Systems with Digital Subtraction Capability, by Census Year, 1998/99 to 2008/09; 21. Percent of Angiography Systems by Table Tilt Capability, by Hospital Bed Size, as of 2008/09 Census; 22. Trend in Mix of Angio Systems Installed, by Table Tilt Capability, by Census Year, 2000/01 to 2008/09; 23. Percent of Angiography Rooms Also Used for Coronary Angiography, by Hospital Bed Size, as of 2008/09 Census; 24. Trend in Mix of Angio Systems Installed, by Whether Used for Coronary Angiography, by Census Year, 1998/99 to 2008/09; 25. Percent of Angiography Rooms that are Also Used for Non-Vascular Fluoro (RF) Procedures, by Hospital Bed Size, as of 2008/09 Census; 26. Trend in Mix of Angio Systems Installed, by Whether Used for Non-Vascular Fluoro (RF) Procedures, by Census Year, 2004/05 to 2008/09; 27. Whether Staff Needs to be Scrubbed to Enter Angio Room, by Hospital Bed Size, as of 2008/09 Census; 28. Whether Angio Room has Laminar Airflow, by Hospital Bed Size, as of 2008/09 Census; 29. Percentage of Angio Sites Currently Offering or Planning to Offer Percutaneous Heart Valve Replacement, as of 2008/09 Census; 30. Percentage of Angio Sites Currently Offering Percutaneous Heart Valve Replacement, by Hospital Bed Size, as of 2008/09 Census; 31. Percentage of Angio Sites that Currently Do Not Offer Percutaneous Heart Valve Replacement, that are Planning to Offer this Capability, by Hospital Bed Size, as of 2008/09 Census; 32. Percentage of Angio Sites Currently Using or Planning to Use Fixed C-Arms to Acquire CT-like Images, as of 2008/09 Census; 33. Percentage of Angio Sites Currently Using Fixed C-Arms to Acquire CT-like Images, by Hospital Bed Size, as of 2008/09 Census; 34. Percentage of Angio Sites that Currently Do Not Use Fixed C-Arms to Acquire CT-like Images, that are Planning to Offer this Capability, by Hospital Bed Size, as of 2008/09 Census
C. Angiography X-ray System Purchase Plans & IMV Market Forecast Scenarios: 1. Angio Site Plans for Purchasing Angiography X-ray Systems, from 2009 to 2011+, as of 2008/09 Census; 2. Percent of Angio Sites Planning to Purchase Angio X-ray Systems Over the “Next Three Years,” by Census Year, 1998/99 to 2008/09; 3. Plans for Purchasing Replacement vs. Additional Angiography X-ray Systems, by Hospital Bed Size, as of 2008/09 Census; 4. Plans for New vs. Refurbished Angiography X-ray Systems, by Hospital Bed Size, as of 2008/09 Census; 5. Angio Lab Replacement Cycle, Based on IMV 2008/09 Interventional Angiography Census Survey Responses; 6. Estimated Angiography X-ray Unit Market Projections, 2009-2013, Based on “Positive” First Buyer / Additional / Replacement Buyer Market Scenario; 7. Estimated Angiography X-ray Unit Market Projections, 2009-2013, Based on “Optimistic” First Buyer / Additional / Replacement Buyer Market Scenario; 8. Estimated Angiography X-ray Unit Market Projections, 2009-2013, Based on “Pessimistic” First Buyer / Additional / Replacement Buyer Market Scenario; 9. Plans for Using Future Angiography X-ray Systems for Coronary Procedures, by Hospital Bed Size, as of 2008/09 Census; 10. Plans for Purchasing Single vs. Bi-Plane Systems, by Hospital Bed Size, as of 2008/09 Census; 11. Plans for Purchasing Image Intensifier vs. Flat Panel Digital Detector Angiography X-ray Systems, as of 2008/09 Census; 12. Planned Detector Size for Future Flat Panel Digital Detector Angiography X-ray Systems, as of 2008/09 Census; 13. Plans for Purchasing Angiography X-ray Systems, by Table Tilt Capability, as of 2008/09 Census; 14. Plans for Using Future Angiography X-ray Systems in a Full Open Surgical Environment, as of 2008/09 Census; 15. Departments in which Future Angiography X-ray Systems Will be Located, as of 2008/09 Census; 16. Departments in which Future Angiography X-ray Systems Will be Located, by Hospital Bed Size, as of 2008/09 Census; 17. Percent Distribution of Sites Mentioning Manufacturers Considered for Next Angiography X-ray System Purchase, as of 2008/09 Census; 18. Percent Distribution of Sites Mentioning Manufacturers Considered for Next Angiography X-ray System Purchase, by Hospital Bed Size, as of 2008/09 Census; 19. Brand Loyalty: Angiography X-ray System Vendor Being Considered by Current Installed Base, as of 2008/09 Census; 20. Distribution of 2010 Capital Equipment Budget; 21. Trend in Angio Lab Budgets for Capital Equipment, 1999-2010; 22. 2010 Capital Equipment Budget Distribution, by Hospital Bed Size; 23. Average Capital Equipment Budget per Angiography Site, by Hospital Bed Size, 2001-2010
D. Contrast Agent Budgets and Utilization: 1. Distribution of 2009 Angio Lab Contrast Agent Budgets; 2. Trend in Angio Lab Budgets for Contrast Agents, for Hospitals with 150+ Beds, 1998-2009; 3. Distribution of 2009 Angiography Contrast Agent Budgets, by Hospital Bed Size; 4. Average Budget for Contrast Agents per Angio Site, by Hospital Bed Size, 2001-2009; 5. Average Budget for Contrast Agents per Non-Coronary Angiography Procedure, by Hospital Bed Size, 2000-2008; 6. Use of CO2 with Procedures Performed in Angio Rooms, 2008; 7. Number and Percent of Angio Sites Using CO2 and Mean Annual Procedures per Site Performing, by Hospital Bed Size, 2008; 8. Distribution of 2008 Angiography Contrast Media Expenditures, by Contrast Agent Manufacturer; 9. Distribution of 2008 Angiography Contrast Media Expenditures, by Contrast Agent Brand; 10. Angio Lab Sites Mentioning Use of Contrast Agents, by Brand Name, as of 2008/09 Census; 11. Trend in Percent of Angio Sites Mentioning Use of Contrast Agents, by Brand Name, by Census Year, 2000/01 to 2008/09; 12. Percent of Angio Lab Sites Mentioning Use of Contrast Agents, by Manufacturer, by Hospital Bed Size, as of 2008/09 Census; 13. Trend in Angio Lab Sites Mentioning Use of Contrast Agents, by Manufacturer, by Census Year, 2000/01 to 2008/09
E. Power Injectors for Angio Contrast: 1. Distribution of Angio Sites by Number of Power Injectors Installed, as of 2008/09 Census; 2. Percent Distribution of Power Injectors Used in Angio Labs, by Manufacturer, as of 2008/09 Census; 3. Angio Lab Power Injector Installed Base Share, by Hospital Bed Size, as of 2008/09 Census; 4. Angio Lab Power Injector Installed Base, by Year of Installation, as of 2008/09 Census; 5. Angio Lab Power Injector Manufacturer Market Share, by Year of Installation, from 2003 to 2008, as of 2008/09 Census; 6. Angio Site Plans for Purchasing Power Injectors, from 2009 to 2011+, as of 2008/09 Census; 7. Percent of Angio Sites Planning to Purchase Power Injectors Over the "Next Three Years," by Census Year, 2000/01 to 2008/09; 8. Percent Distribution of Sites Mentioning Manufacturers Considered for Next Power Injector Purchases in Angio Labs, as of 2008/09 Census; 9. Brand Loyalty: Angio Power Injector Vendor Being Considered by Current Angio Sites, as of 2008/09 Census
F. Angiography Lab Operations Characteristics: 1. 2008/09 Angiography Census Respondent’s Department, All Sites; 2. Department Location of Current X-ray Angiography Rooms, as of 2008/09 Census; 3. Whether Other Departments in the Facility Perform Non-Coronary Angio Procedures, as of 2008/09 Census; 4. Percent Distribution of Other Departments in the Facility that Perform Non-Coronary Angio Procedures, as of 2008/09 Census; 5. Whether Institution also Operates a Separate Cath Lab, by Hospital Bed Size, as of 2008/09 Census; 6. Whether Angio Lab Sites Perform Angio and Cath Procedures in the Same Room, by Hospital Bed Size, as of 2008/09 Census; 7. Distribution of Angio Sites, by the Number of Physicians in Specialties (Other than Radiology) Using the Angio Suite, by Hospital Bed Size, as of 2008/09 Census; 8. Types of Physician Specialties Using the Angio Suite, as of 2008/09 Census; 9. Distribution of Angio Sites, by the number of Non-Radiologists Using the Angio Suite, by Hospital Bed Size, by Census Year, 1998/99 to 2008/09; 10. Average Angio Procedures per Angio X-ray System, by Hospital Bed Size, by Census Year, 1998/99 to 2008/09; 11. Percent of Angiography Sites Having FTEs, by Staff Type, by Hospital Bed Size, as of 2008/09 Census; 12. Mean Number of FTE Staff per Angiography Site Having That Type, by Hospital Bed Size, as of 2008/09 Census; 13. Trend in Percent of Angiography Sites Having FTEs, by Staff Type, by Census Year, 1998/99 to 2008/09; 14. Trend in Mean Number of FTE Staff per Angiography Site Having That Type, by Census Year, 1998/99 to 2008/09; 15. Average Annual Angio Procedures per Technologist and Total Staff FTE, by Hospital Bed Size, as of 2008/09 Census; 16. Average Annual Angio Procedures per Technologist and Total Staff FTE, by Census Year, 1998/99 to 2008/09; 17. Average Number of FTE Staff per Angio Room, as of 2008/09 Census; 18. Trend in Average Number of FTE Staff per Angio Room, by Census Year, 1998/99 to 2008/09; 19. Waiting Time for Non-Emergency Angiography Procedures, as of 2008/09 Census; 20. Waiting Time for Non-Emergency Angiography Procedures, by Census Year, 1998/99 to 2008/09; 21. Buying Group Influence on Equipment Purchases, All Sites, as of 2008/09 Census; 22. Compliance with Buying Group for Equipment Purchases, by Census Year, 1998/99 to 2008/09; 23. Buying Group Influence on Consumables Purchases, All Sites, as of 2008/09 Census; 24. Compliance with Buying Group for Consumables Purchases, by Census Year, 1998/99 to 2008/09; 25. Distribution of Reimbursement Sources for Angiography Patient Billings, as of 2008/09 Census; 26. 2008 Angiography Procedures per Thousand Population, by State

2008/09 Interventional Angiography Lab Market Summary Report

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