Countries covered: Europe
Introduction:
The European interventional cardiology (IC) device market consists of devices used in the minimally invasive treatment and diagnosis of coronary artery disease (CAD). In 2010, revenues were generated from sales of coronary stents, percutaneous transluminal coronary angioplasty (PTCA) balloon catheters, accessory devices, intravascular imaging catheters, and pressure guidewires. The European IC market will remain relatively flat through 2015 because continued price erosion across all device types and regions-resulting from competitive pricing, high volume and bundling discounts, and deficits in reimbursement-will offset the rising number of CAD patients in Europe that continue to expand due to the aging population and increasing rates of diabetes and obesity. Slow growth in percutaneous coronary intervention (PCI) volumes will also restrict the market. High penetration of the eligible patient population, fewer repeat procedures being performed, and the use of alternative methods of treating CAD will all limit PCI volumes. The market will, however, be supported by recent and ongoing clinical trials that examine the efficacy of PCI in unique CAD patient groups, such as those with acute myocardial infarction (AMI) or diabetes. Improvements made to next-generation stents have also demonstrated superior clinical outcomes, which will support overall market growth. Furthermore, as drug-eluting stents (DES) become more affordable, rising DES penetration will offset the market decline due to the devices' price premium over bare-metal stents (BMS). Overall, the European IC device market will remain stable through 2015.
Questions Answered in This Report:
- Ongoing clinical trials are examining the use of drug-coated balloons in the treatment of CAD. What niche roles will drug-coated balloons fill in the treatment of CAD? How will positive clinical trial data affect the penetration of drug-coated balloons?
- In 2010, the European Society of Cardiology (ESC) guidelines classified fractional flow reserve (FFR)-guided treatment as Class I, with level of evidence A. How many PCIs currently involve the use of FFR technology? What impact will the guideline changes have on the adoption of FFR guidewires? How will their adoption impact the coronary stent market?
- Diagnosis-related group (DRG) reimbursement systems in France, Germany, and Italy provide general reimbursement for IC procedures; the UK's National Institute for Health and Clinical Excellence (NICE) limits the premium that can be charged for DES. What reimbursement changes are happening in each country? How is legislation affecting the use and pricing of IC devices? How does this affect the competitive landscapes between countries?
- Having received CE marking in 2010, a second optical coherence tomography (OCT) catheter will be available on the European market in 2011. How will growing competition affect the OCT catheter market? How high is intravascular ultrasound penetration in Europe, and how will this be affected by the increased availability of OCT catheters?
- European physicians vary widely in their preference for either PTCA-with-stent or direct stenting methods of implanting coronary stents. In which countries is each method the most popular? How will evolving device capabilities affect physicians' preferences?
Scope:
Regions covered: France, Germany, Italy, UK
Procedure segmentation: Our analysis uses the following breakdown of procedures:
- IC procedures
- Angiography only
- Same-session
- PCI only
- PCIs
- PTCA-with-stent
- Direct stenting
- Plain old balloon angioplasty (POBA)
- Coronary stent procedures
- By type (PTCA-with-stent and direct stenting)
- By segment (DES and BMS)
- PTCA balloon catheter procedures
- PTCA-with-stent
- POBA
- Intravascular imaging catheter and pressure guidewire procedures
- IVUS procedures
- OCT procedures
- FFR procedures
Market segmentation: Our analysis uses the following breakdown of the market:
- Coronary stents
- DES
- BMS
- PTCA balloon catheters
- Normal balloons
- Cutting balloons
- Drug-coated balloons
- Accessory devices
- PTCA guidewires (workhorse and specialty)
- Diagnostic catheters
- PTCA guiding catheters
- Introducer sheaths
- Intravascular imaging catheters and pressure guidewires
- IVUS catheters
- FFR guidewires
- OCT catheters
Market forecast features: Based on primary research with industry professionals, we use our proprietary forecasting model to provide an in-depth examination of current and future trends in procedure volumes, unit sales, average selling prices, and market values over a 7-year period (2009-2015).
Competitive analysis: We provide a detailed analysis of the competitive landscape in the market, as well as market shares and qualitative discussions of the leading competitors in each market segment.
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- EXECUTIVE SUMMARY
- METHODOLOGY
- 1.0 EUROPEAN INTERVENTIONAL CARDIOLOGY DEVICE MARKET
- 1.1 Market Overview
- 1.2 Coronary Artery Disease Overview
- 1.3 Treatment Overview
- 1.3.1 Medical Management
- 1.3.2 Coronary Artery Bypass Graft Surgery
- 1.3.3 Percutaneous Coronary Intervention
- 1.3.3.1 Stenting
- 1.3.3.2 Percutaneous Transluminal Balloon Angioplasty
- 1.3.4 Femoral versus Radial Approach for PCI
- 1.4 Treatment of Unique CAD Patient Subsets
- 1.4.1 Treatment of Patients with Acute Myocardial Infarction
- 1.4.2 Treatment of Diabetic Patients
- 1.4.3 Treatment of Bifurcated Lesions
- 1.5 Market Analysis
- 1.5.1 Key Report Updates
- 1.5.2 Procedures
- 1.5.3 Market Forecast
- 1.5.3.1 French Interventional Cardiology Device Market
- 1.5.3.2 German Interventional Cardiology Device Market
- 1.5.3.3 Italian Interventional Cardiology Device Market
- 1.5.3.4 UK Interventional Cardiology Device Market
- 1.5.4 Market Drivers and Limiters
- 1.6 Competitive Analysis
- 1.6.1 Competitive Landscape
- 1.6.2 Market Shares
- 2.0 CORONARY STENT MARKET
- 2.1 Market Overview
- 2.2 Market Analysis
- 2.2.1 Procedures
- 2.2.1.1 Clinical Trial Summaries
- 2.2.2 Market Forecast
- 2.2.2.1 Drug-Eluting Stent Market
- 2.2.2.2 Bare-Metal Stent Market
- 2.2.3 Market Drivers and Limiters
- 2.2.3.1 Drug-Eluting Stent Market Drivers and Limiters
- 2.2.3.2 Bare-Metal Stent Market Drivers and Limiters
- 2.3 Competitive Analysis
- 2.3.1 Competitive Landscape
- 2.3.2 Market Shares
- 3.0 PTCA BALLOON CATHETER MARKET
- 3.1 Market Overview
- 3.2 Market Analysis
- 3.2.1 Procedures
- 3.2.2 Market Forecast
- 3.2.3 Market Drivers and Limiters
- 3.3 Competitive Analysis
- 3.3.1 Competitive Landscape
- 3.3.2 Market Shares
- 4.0 ACCESSORY DEVICE MARKET
- 4.1 Market Overview
- 4.2 Market Analysis
- 4.2.1 Procedures
- 4.2.2 Market Forecast
- 4.2.2.1 PTCA Guidewire Market
- 4.2.2.2 Diagnostic Catheter Market
- 4.2.2.3 PTCA Guiding Catheter Market
- 4.2.2.4 Introducer Sheath Market
- 4.2.3 Market Drivers and Limiters
- 4.3 Competitive Analysis
- 4.3.1 Competitive Landscape
- 4.3.2 Market Shares
- 5.0 INTRAVASCULAR IMAGING CATHETER AND PRESSURE GUIDEWIRE MARKET
- 5.1 Market Overview
- 5.2 Market Analysis
- 5.2.1 Procedures
- 5.2.1.1 Intravascular Ultrasound Procedures
- 5.2.1.2 Optical Coherence Tomography Procedures
- 5.2.1.3 Fractional Flow Reserve Procedures
- 5.2.2 Market Forecast
- 5.2.2.1 Intravascular Ultrasound Catheter Market
- 5.2.2.2 Optical Coherence Tomography Catheter Market
- 5.2.2.3 Fractional Flow Reserve Guidewire Market
- 5.2.3 Market Drivers and Limiters
- 5.2.3.1 Intravascular Ultrasound Catheter Market Drivers and Limiters
- 5.2.3.2 Optical Coherence Tomography Catheter Market Drivers and Limiters
- 5.2.3.3 Fractional Flow Reserve Guidewire Market Drivers and Limiters
- 5.3 Competitive Analysis
- 5.3.1 Competitive Landscape
- 5.3.2 Market Shares
- 6.0 INTERVENTIONAL CARDIOLOGY DEVICE MARKET COMPETITIVE ANALYSIS
- 6.1.1 Competitive Landscape
- 6.1.2 Market Shares
- 6.1.3 Competitor Discussions (in Alphabetical Order)
- Abbott Vascular
- AngioScore
- B. Braun
- Biosensors International
- BIOTRONIK
- Boston Scientific
- Cordis
- Eurocor
- Medtronic
- STENTYS
- St. Jude Medical
- Terumo Medical
- TriReme Medical
- Tryton Medical
- Volcano
- Other
- 6.1.3.1 Emerging Competitors
- InfraReDx
- Lutonix
- APPENDIX A: MRG ACRONYMS AND INITIALISMS
- APPENDIX B: SUPPLEMENTAL FIGURES
- LIST OF FIGURES AND TABLES
- EXECUTIVE SUMMARY
- Figure 1: IC Device Market, by Country, Europe (US$), 2009-2015
- Figure 2: Coronary Stent Units, by Segment, Europe, 2009-2015
- Figure 3: PCIs, by Type, Europe, 2009-2015
- Figure 4: Accessory Device Market, by Segment, as a % of Total, Europe, 2009-2015
- Figure 5: Intravascular Imaging Catheter and Pressure Guidewire Market, Europe (US$), 2009-2015
- Table 1: Companies Mentioned in This Report
- METHODOLOGY
- Table 2: Average Currency Exchange Rates, 2010
- 1.0 EUROPEAN INTERVENTIONAL CARDIOLOGY DEVICE MARKET
- Figure 6: IC Device Market, Europe (US$), 2009-2015
- Figure 7: CAD Treatment Options
- Table 3: Key Report Updates, 2011
- Figure 8: IC Procedures, by Type, Europe, 2009-2015
- Figure 9: PCIs, by Type, Europe, 2009-2015
- Table 4: IC Procedures, by Type and Country, Europe, 2009-2015
- Table 5: IC Procedure Growth, by Type and Country, Europe, 2010-2015
- Table 6: Diagnostic Angiographies, by Country and Type, as a % of Total, Europe, 2009-2015
- Table 7: PCIs, by Country and Type, as a % of Total, Europe, 2009-2015
- Table 8: IC Device Market, by Country, Europe (US$, €, and £), 2009-2015
- Table 9: IC Device Market, by Segment, Europe (US$ and €), 2009-2015
- Table 10: IC Device Market, by Segment, France (US$ and €), 2009-2015
- Table 11: IC Device Market, by Segment, Germany (US$ and €), 2009-2015
- Table 12: IC Device Market, by Segment, Italy (US$ and €), 2009-2015
- Table 13: IC Device Market, by Segment, UK (US$, €, and £), 2009-2015
- Table 14: Drivers of the IC Device Market, Europe
- Table 15: Limiters of the IC Device Market, Europe
- Figure 10: Leading Competitors in the IC Device Market, as a % of Total, Europe, 2010
- Table 16: Leading Competitors in the IC Device Market, by Country, as a % of Total, Europe, 2010
- Table 17: Leading Competitors in the IC Device Market, by Segment, as a % of Total, Europe, 2010
- 2.0 CORONARY STENT MARKET
- Figure 11: Coronary Stent Market, by Segment, Europe (US$), 2009-2015
- Table 18: Coronary Stent Procedures, by Segment and Country, Europe, 2009-2015
- Table 19: Coronary Stent Procedure Growth, by Stent Type and Country, Europe, 2010-2015
- Table 20: DES Procedures and Units, by Country, Europe, 2009-2015
- Table 21: DES Procedure and Unit Growth, by Country, Europe, 2010-2015
- Table 22: BMS Procedures and Units, by Country, Europe, 2009-2015
- Table 23: BMS Procedure and Unit Growth, by Country, Europe, 2010-2015
- Table 24: Select Clinical Trial Summaries, 2010
- Table 25: Coronary Stent Units, by Segment and Country, Europe, 2009-2015
- Table 26: Coronary Stent Unit Growth, by Segment and Country, Europe, 2010-2015
- Table 27: Coronary Stent Units, by Country and Segment, as a % of Total, Europe, 2009-2015
- Table 28: Coronary Stent Market, by Segment and Country, Europe (US$), 2009-2015
- Table 29: Coronary Stent Market, by Segment and Country, Europe (€ and £), 2009-2015
- Table 30: Coronary Stent Market Growth, by Segment and Country, Europe, 2010-2015
- Table 31: Coronary Stent Market, by Country and Segment, as a % of Total, Europe, 2009-2015
- Table 32: DES Market, by Country, Europe (US$), 2009-2015
- Table 33: DES Market, by Country, Europe (€ and £), 2009-2015
- Table 34: DES Market Growth, by Country, Europe, 2010-2015
- Table 35: BMS Market, by Country, Europe (US$), 2009-2015
- Table 36: BMS Market, by Country, Europe (€ and £), 2009-2015
- Table 37: BMS Market Growth, by Country, Europe, 2010-2015
- Table 38: Drivers of the DES Market, Europe
- Table 39: Limiters of the DES Market, Europe
- Table 40: Drivers of the BMS Market, Europe
- Table 41: Limiters of the BMS Market, Europe
- Table 42: Leading Competitors in the Coronary Stent Market, by Country, as a % of Total, Europe, 2010
- Table 43: Leading Competitors in the DES Market, by Country, as a % of Total, Europe, 2010
- Table 44: Leading Competitors in the BMS Market, by Country, as a % of Total, Europe, 2010
- 3.0 PTCA BALLOON CATHETER MARKET
- Figure 12: PTCA Balloon Catheter Market, by Segment, Europe (US$), 2009-2015
- Table 45: PCIs, by Type and Country, Europe, 2009-2015
- Table 46: PCI Growth, by Type and Country, Europe, 2010-2015
- Table 47: PTCA Balloon Catheter Procedures and Units, by Country, Europe, 2009-2015
- Table 48: PTCA Balloon Catheter Procedure and Unit Growth, by Country, Europe, 2010-2015
- Table 49: PTCA Balloon Catheter Market, by Country, Europe (US$), 2009-2015
- Table 50: PTCA Balloon Catheter Market, by Country, Europe (€ and £), 2009-2015
- Table 51: PTCA Balloon Catheter Market Growth, by Country, Europe, 2010-2015
- Table 52: PTCA Balloon Catheter Market, by Type, Europe (US$), 2009-2015
- Table 53: PTCA Balloon Catheter Market, by Type, Europe (€), 2009-2015
- Table 54: PTCA Balloon Catheter Market Growth, by Type, Europe, 2010-2015
- Table 55: PTCA Balloon Catheter Market, by Type, as a % of Total, Europe, 2009-2015
- Table 56: Drivers of the PTCA Balloon Catheter Market, Europe
- Table 57: Limiters of the PTCA Balloon Catheter Market, Europe
- Table 58: Leading Competitors in the PTCA Balloon Catheter Market, by Country, as a % of Total, Europe, 2010
- 4.0 ACCESSORY DEVICE MARKET
- Figure 13: Accessory Device Market, by Segment, Europe (US$), 2009-2015
- Table 59: IC Procedures, by Type and Country, Europe, 2009-2015
- Table 60: IC Procedure Growth, by Type and Country, Europe, 2010-2015
- Table 61: Diagnostic Angiographies, by Type and Country, Europe, 2009-2015
- Table 62: Diagnostic Angiography Growth, by Type and Country, Europe, 2010-2015
- Table 63: Accessory Device Market, by Segment, Europe (US$ and €), 2009-2015
- Table 64: Accessory Device Market, by Country, Europe (US$, €, and £), 2009-2015
- Table 65: PTCA Guidewire Procedures and Units, by Country, Europe, 2009-2015
- Table 66: PTCA Guidewire Procedure and Unit Growth, by Country, Europe, 2010-2015
- Table 67: PTCA Guidewire Units, by Segment and Country, Europe, 2009-2015
- Table 68: PTCA Guidewire Unit Growth, by Segment and Country, Europe, 2009-2015
- Table 69: PTCA Guidewire Units, by Country and Segment, as a % of Total, Europe, 2009-2015
- Table 70: PTCA Guidewire ASPs, by Segment and Country, Europe (US$), 2009-2015
- Table 71: PTCA Guidewire ASPs, by Segment and Country, Europe (€ and £), 2009-2015
- Table 72: PTCA Guidewire ASP Growth, by Segment and Country, Europe, 2010-2015
- Table 73: PTCA Guidewire Market, by Segment and Country, Europe (US$), 2009-2015
- Table 74: PTCA Guidewire Market, by Segment and Country, Europe (€ and £), 2009-2015
- Table 75: PTCA Guidewire Market Growth, by Segment and Country, Europe, 2010-2015
- Table 76: PTCA Guidewire Market, by Country and Segment, as a % of Total, Europe, 2009-2015
- Table 77: Diagnostic Catheter Procedures and Units, by Country, Europe, 2009-2015
- Table 78: Diagnostic Catheter Procedure and Unit Growth, by Country, Europe, 2010-2015
- Table 79: Diagnostic Catheter Market, by Country, Europe (US$), 2009-2015
- Table 80: Diagnostic Catheter Market, by Country, Europe (€ and £), 2009-2015
- Table 81: Diagnostic Catheter Market Growth, by Country, Europe, 2010-2015
- Table 82: PTCA Guiding Catheter Procedures and Units, by Country, Europe, 2009-2015
- Table 83: PTCA Guiding Catheter Procedure and Unit Growth, by Country, Europe, 2010-2015
- Table 84: PTCA Guiding Catheter Market, by Country, Europe (US$), 2009-2015
- Table 85: PTCA Guiding Catheter Market, by Country, Europe (€ and £), 2009-2015
- Table 86: PTCA Guiding Catheter Market Growth, by Country, Europe, 2010-2015
- Table 87: Introducer Sheath Procedures and Units, by Country, Europe, 2009-2015
- Table 88: Introducer Sheath Procedure and Unit Growth, by Country, Europe, 2010-2015
- Table 89: Introducer Sheath Market, by Country, Europe (US$), 2009-2015
- Table 90: Introducer Sheath Market, by Country, Europe (€ and £), 2009-2015
- Table 91: Introducer Sheath Market Growth, by Country, Europe, 2010-2015
- Table 92: Drivers of the Accessory Device Market, Europe
- Table 93: Limiters of the Accessory Device Market, Europe
- Table 94: Leading Competitors in the Accessory Device Market, by Country, as a % of Total, Europe, 2010
- Table 95: Leading Competitors in the PTCA Guidewire Market, by Country, as a % of Total, Europe, 2010
- Table 96: Leading Competitors in the Diagnostic Catheter Market, by Country, as a % of Total, Europe, 2010
- Table 97: Leading Competitors in the PTCA Guiding Catheter Market, by Country, as a % of Total, Europe, 2010
- Table 98: Leading Competitors in the Introducer Sheath Market, by Country, as a % of Total, Europe, 2010
- 5.0 INTRAVASCULAR IMAGING CATHETER AND PRESSURE GUIDEWIRE MARKET
- Figure 14: Intravascular Imaging Catheter and Pressure Guidewire Market, by Segment, Europe (US$), 2009-2015
- Table 99: Intravascular Imaging Catheter and Pressure Guidewire Procedures, by Type, Europe, 2009- 2015
- Table 100: IVUS Procedures, by Country, Europe, 2009-2015
- Table 101: OCT Procedures, by Country, Europe, 2009-2015
- Table 102: FFR Procedures, by Country, Europe, 2009-2015
- Table 103: Intravascular Imaging Catheter and Pressure Guidewire Market, by Segment, Europe (US$), 2009-2015
- Table 104: Intravascular Imaging Catheter and Pressure Guidewire Market, by Segment, Europe (€), 2009-2015
- Table 105: Intravascular Imaging Catheter and Pressure Guidewire Market Growth, by Segment, Europe, 2010-2015
- Table 106: Intravascular Imaging Catheter and Pressure Guidewire Market, by Country, Europe (US$ and €), 2010-2015
- Table 107: IVUS Catheter Market, by Country, Europe (US$), 2009-2015
- Table 108: IVUS Catheter Market, by Country, Europe (€ and £), 2009-2015
- Table 109: IVUS Catheter Market Growth, by Country, Europe, 2010-2015
- Table 110: OCT Catheter Market, by Country, Europe (US$), 2009-2015
- Table 111: OCT Catheter Market, by Country, Europe (€ and £), 2009-2015
- Table 112: OCT Catheter Market Growth, by Country, Europe, 2010-2015
- Table 113: FFR Guidewire Market, by Country, Europe (US$), 2009-2015
- Table 114: FFR Guidewire Market, by Country, Europe (€ and £), 2009-2015
- Table 115: FFR Guidewire Market Growth, by Country, Europe, 2010-2015
- Table 116: Drivers of the IVUS Catheter Market, Europe
- Table 117: Limiters of the IVUS Catheter Market, Europe
- Table 118: Drivers of the OCT Catheter Market, Europe
- Table 119: Limiters of the OCT Catheter Market, Europe
- Table 120: Drivers of the FFR Guidewire Market, Europe
- Table 121: Limiters of the FFR Guidewire Market, Europe
- Table 122: Leading Competitors in the Intravascular Imaging Catheter and Pressure Guidewire Market, by Segment, as a % of Total, Europe, 2010
- Table 123: Leading Competitors in the IVUS Catheter Market, by Country, as a % of Total, Europe, 2010
- Table 124: Leading Competitors in the OCT Catheter Market, by Country, as a % of Total, Europe, 2010
- Table 125: Leading Competitors in the FFR Guidewire Market, by Country, as a % of Total, Europe, 2010
- 6.0 INTERVENTIONAL CARDIOLOGY DEVICE MARKET COMPETITIVE ANALYSIS
- Table 126: Leading Competitors in the IC Device Market, by Segment, as a % of Total, Europe, 2010
- APPENDIX A: MRG ACRONYMS AND INITIALISMS
- MRG Acronyms and Initialisms
- APPENDIX B: SUPPLEMENTAL FIGURES
- Figure 15: IC Device Market, by Country, Europe (US$), 2009-2015 (Detailed Format)
- Figure 16: Coronary Stent Units, by Segment, Europe, 2009-2015 (Detailed Format)
- Figure 17: PCIs, by Type, Europe, 2009-2015 (Detailed Format)
- Figure 18: Accessory Device Market, by Segment, as a % of Total, Europe, 2009-2015 (Detailed Format)
- Figure 19: Intravascular Imaging Catheter and Pressure Guidewire Market, Europe (US$), 2009-2015 (Detailed Format)
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