US Markets for Peripheral Vascular Devices 2011

Millennium Research Group
December 10, 2010
SKU: MIL6661702
License type:
Countries covered: United States

Introduction:

Through 2015, the US peripheral vascular (PV) device market will grow steadily as a result of increased adoption of minimally invasive treatment options for peripheral vascular disease (PVD) and new technologies that encourage physician adoption of PV devices in a greater patient population. Clinical trials will become increasingly important as manufacturers seek vascular-indication approval for their devices and discussions related to US health care reforms illuminate the comparative effectiveness of different treatment options. Threats to reimbursement will, however, curb potential revenues as physicians become more conservative in their use of premium-priced devices or multiple-device treatments. Nevertheless, growing awareness of PVD and physician interest in treating the disease will spur considerable market growth through 2015, generating revenues of over $3 billion by the end of the forecast period.

Questions Answered in This Report:
  • Although drug-eluting stents (DES) account for a significant portion of coronary stenting procedures in the US, there are no devices approved for peripheral use. Several manufacturers are evaluating the use of DES in the lower extremities through clinical trials, and it is expected that at least one DES product will be approved and launched in the US in 2011. How will the expected approval of peripheral DES affect the PV stent market? What kind of penetration rates will peripheral DES achieve in the US?
  • The highly anticipated CREST (Carotid Revascularization Endarterectomy versus Stent Trial) released preliminary data in early 2010. How has this data been received by the industry? What impact will this have on the carotid stent market? What barriers are still in place before Centers for Medicare & Medicaid Services will expand reimbursement?
  • Atherectomy has emerged in recent years as an alternative method for debulking plaque, particularly in the lower-extremity arteries. What controversies remain regarding the use of atherectomy? How will the use of atherectomy as a stand-alone treatment for peripheral artery disease change through 2015? Will the procedure continue to be performed in conjunction with stenting?
  • Thoracic aortic stent grafts have been a key area of innovation for device manufacturers due to their rapid adoption of this technology. How will newer technologies expand the treatable patient population and contribute to market growth? Which new competitors are expected to enter the US market?
Scope:

Regions covered: US

Procedure segmentation: Our analysis uses the following breakdown of procedures:
  • PV stenting
  • By indication (carotid, renal, iliac, femoropopliteal, infrapopliteal, venous and other [subclavian, brachial, and mesenteric arteries, along with arteriovenous (AV) access and transjugular intrahepatic portosystemic shunt (TIPS)])
  • By stent type (self-expandable [SX], balloon-expandable [BX], covered, and drug-eluting [forecasted])
  • Percutaneous transluminal angioplasty (PTA) balloon catheters
  • By type (plain old balloon angioplasty and PTA-with-stent)
  • By indication (carotid, renal, iliac, femoropopliteal, infrapopliteal, AV, and other [subclavian and venous])
  • Atherectomy devices
  • By type (stand-alone and adjunctive with stent or balloon)
  • By indication (femoropopliteal, infrapopliteal, and other [iliac, carotid, and renal])
  • Aortic stent grafts
  • By indication (abdominal aortic and thoracic aortic)
  • Synthetic surgical grafts
  • By indication (abdominal aortic, thoracic aortic, aorto-iliac, extra-anatomical, above-the-knee bypass, below-the-knee bypass, AV, and other PV [cervical, vertebral, visceral, and upper-extremity arteries])
Market segmentation: Our analysis uses the following breakdown of the market:
  • PV stents
  • By indication (carotid, renal, iliac, femoropopliteal, infrapopliteal, venous and other [subclavian, brachial, and mesenteric arteries, along with AV access and TIPS])
  • By stent type (SX, BX, covered, and drug-eluting [forecasted])
  • PTA balloon catheters
  • By balloon type (standard, small, high-pressure, large, and specialty)
  • Atherectomy devices
  • By device type (rotational and laser)
  • Embolic protection devices
  • By indication (carotid, renal, and other [use during atherectomy])
  • Aortic stent grafts
  • By indication (abdominal aortic and thoracic aortic)
  • Synthetic surgical grafts
  • By indication (abdominal aortic, thoracic aortic, aorto-iliac, extra-anatomical, above-the-knee bypass, below-the-knee bypass, AV, and other PV [cervical, vertebral, visceral, and upper-extremity arteries])
  • By graft material (expanded polytetrafluoroethylene [ePTFE], Dacron, and biologic)
  • Accessory devices
  • By device type (guidewires [interventional, hydrophilic, and diagnostic], sheaths [introducer and guiding], diagnostic catheters [standard and hydrophilic], guiding catheters, and chronic total occlusion crossing devices)
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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