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Carotid Stents

Published by: Global Industry Analysts

Published: Mar. 1, 2008 - 148 Pages


Table of Contents



I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS

Study Reliability and Reporting Limitations

Disclaimers

Data Interpretation & Reporting Level

Quantitative Techniques & Analytics

Product Definitions and Scope of Study

Carotid Stents

II. EXECUTIVE SUMMARY

1. Global Market Overview and Analysis

Carotid Stents - A Nascent Market

Current and Future Analysis

US - Picking Pace

2. Market Dynamics

Factors Driving Carotid Stents Market

Clinical Trials & Regulatory Approvals to Accelerate Adoption

Broader Application of CAS

Benefiting From Less-Invasive Nature of Procedure

Acceptance by Various Medical Specialties

Market Challenges

Absence of Sufficient Clinical Data

Surgeons Wary of High-Risk CAS Procedures

Reimbursement Coverage Issue Hurdles Widespread Adoption

Fighting for CAS Domain

Training and Certification of Surgeons - A Major Hurdle

Stenting Procedure for Transient Ischemic Attacks - A Continuing Dilemma

3. Competitive Scenario

Table 1: Worldwide Carotid Stents Market (2006-2007E): Market Share of Leading Players by Revenues for Boston Scientific, Abbott Vascular/Guidant, Johnson & Johnson/Cordis, Medtronic and Others (includes corresponding Graph/Chart)

4. Product Overview

Carotid Stents - An Introduction

How is Carotid Stenting Helpful?

Carotid Stents - A Viable Alternative to Surgical Procedures

Carotid Stenting Lowers Depression Symptoms!!!

Embolic Protection Devices

Filter-Based EPD Systems

Balloon Occlusion Devices

Basic Carotid Stents Products

Stent Design

Carotid Stents of Major Companies Available in the Market

Carotid Stents Under Development

Diagnosis of Carotid Artery Blockage

Eligibility Criteria for Carotid Stenting Procedure

Potential Candidates for Carotid Stenting

Patients with High Surgical Risk

Non-Candidates for Carotid Stenting

Risk Factors Associated with Carotid Stenting Procedures

Carotid Artery Stenting (CAS) - The Procedure

Catheter Insertion Via Femoral Artery

Advantages of the Procedure

Post-Stenting Complications

5. Overview of Cardiac Diseases

Cerebrovascular Disease

Carotid Artery Disease

Major Symptoms

Carotid Artery Stenosis

Atherosclerosis

Treatment Procedures for Carotid Artery Disease

Carotid Endarterectomy (CEA)

Drawbacks of CEA Procedure

Carotid Artery Stenting (CAS)

CAS Versus CEA

Table 2: Worldwide Carotid Interventions (2006-2008E)): Percentage Breakdown of Number of Procedures for Carotid Endarterectomy and Carotid Stenting (includes corresponding Graph/Chart)

Comparative Study of CAS and CEA Devices

Benefits of CAS over CEA

Drawbacks for CAS Penetration

Risks Associated with CEA and CAS

6. Major Clinical Trials/Studies

Clinical Trials - Key to Higher Adoption of Carotid Stents

Major Clinical Trials & Stent Devices Used

Guidant’s CAPTURE Study

CAPTURE Study Results Hold Promise for Asymptomatic Patients

Boston Scientific’s BEACH Trial

Abbott’s ACT I Trial

CREST Clinical Trial

J&J’s SAPPHIRE Clinical Trial

SAPPHIRE Study Proves Effectiveness of CAS in High-Risk Patients

Other Trials

Medtronic’s MAVErIC Trials Validate the Efficiency of Exponent Carotid Stent

University of Massachusetts Conduct CAS Efficacy Study in Elderly Patients

CaRESS Study

7. Product Launches/Approvals

KNC Obtains Expanded CE Mark Clearance for TriActiv® ProGuard™

FDA Approves Protege® RX Carotid Stent from ev3


Abbott Introduces Emboshield® PRO Embolic Protection System in Europe

Cordis Gains FDA Approval for PRECISE® & ANGIOGUARD® Devices

Medtronic Obtains CE Mark Approval for Exponent® RX Carotid Stent

FDA Approves Boston Scientific’s FilterWire EZ™ Embolic Protection System

Abbott's Xact® Carotid Stent Receives FDA Approval

EndoTex’s NexStent™ Receives CE Mark Approval

KNC Seeks FDA Approval for TriActiv LFX Trial

Guidant's RX ACCULINK™ Carotid Stent System Gets FDA Clearance

ev3’s Protege GPS Receives CE Mark Approval

Medtronic’s Interceptor® PLUS Carotid Filter System Receives CE Mark Approval

Guidant Unveils RX Accunet Embolic Protection System in European Market

Guidant Rolls Out ACCULINK™ Carotid Stent System for European Market

8. Recent Industry Activity

Boston Scientific Acquires EndoTex

Boston Scientific and Guidant Merge Operations; Abbott Acquires Guidant’s Vascular

Business

Lumen Commences EPIC Feasibility Study

Boston Scientific Exclusively Distributes EndoTex’s NexStent™ Carotid Stent

9. Focus on Select Players

Abbott Vascular (USA)

Boston Scientific Corporation (USA)

ev3, Inc. (USA)

Johnson & Johnson (USA)

Cordis Corporation (USA)

Kensey Nash Corporation (USA)

Medtronic, Inc. (USA)

10. Global Market Perspective

Table 3: World Recent Past, Current & Future Analysis for Carotid Stents by Geographic Region - US, Europe and Rest of World Markets Independently Analyzed with Annual Number of Carotid Stent Procedures in Thousands for Years 2004 through 2012 (includes corresponding Graph/Chart)

Table 4: World 9-Year Perspective for Carotid Stents by Geographic Region - Percentage Breakdown by Number of Carotid Stent Procedures for US, Europe and Rest of World Markets for Years 2004, 2007 & 2012 (includes corresponding Graph/Chart)

Table 5: World Recent Past, Current & Future Analysis for Carotid Stents by Geographic Region - US, Europe and Rest of World Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2004 through 2012 (includes corresponding Graph/Chart)

Table 6: World 9-Year Perspective for Carotid Stents by Geographic Region - Percentage Breakdown by Annual Revenues for US, Europe and Rest of World Markets for Years 2004, 2007 & 2012 (includes corresponding Graph/Chart)

III. MARKET

1. The United States

A. Market Analysis

Overview

Current and Future Analysis

Factors Affecting Growth

Reimbursement Scenario for CAS

Restricted Reimbursement Coverage Limits CAS Penetration

CMS Proposes Expanded Reimbursement Coverage for Carotid Stenting

Absence of Regulatory Approvals - A Major Challenge

Clinical Trials - Key to Higher Adoption of Carotid Stents

Latent Demand

Key Statistics

Major Carotid Stents & EPDs in the Market

US Carotid Stents Market - A Gradual Growth

Table 7: Carotid Interventions in the US (2006-2008): Percentage Breakdown of Number of Procedures by Carotid Endarterectomy and Carotid Stenting (includes corresponding Graph/Chart)

Trends and Issues

Convenience in Deployment & Use - Critical for Higher Adoption

Rapid Exchange Capabilities Facilitate Effective Control Over Procedures

Carotid Stents Assume the Role of Memory Boosters

Competitive Landscape

Table 8: US Carotid Stents Market (2006-2007): Market Share of Leading Players by Revenues for Boston Scientific, Guidant, Cordis/J&J, Medtronic and Others (includes corresponding Graph/Chart)

Product Launches/Approvals

Strategic Corporate Developments

Focus on Select Players

Abbott Vascular

Boston Scientific Corporation

ev3, Inc

Johnson & Johnson

Cordis Corporation

Kensey Nash Corporation

Medtronic, Inc

B. Market Analysis

Table 9: US Recent Past, Current & Future Analysis for Carotid Stents Market Independently Analyzed with Annual Number of Carotid Stent Procedures in Thousands for Years 2004 through 2012 (includes corresponding Graph/Chart)

Table 10: US Recent Past, Current & Future Analysis for Carotid Stents Market Independently Analyzed with Annual Revenues in US$ Million for Years 2004 through 2012 (includes corresponding Graph/Chart)

2. Europe

A. Market Analysis

Current and Future Analysis

European Carotid Stents Market - An Overview

ELOCAS Study

CEA Versus CAS

Table 11: European Vascular Interventions Market (2004-2006E): Percentage Breakdown by Number of Procedures for Carotid Artery Stenting and Carotid Endarterectomy (includes corresponding Graph/Chart)

Product Launches/Approvals

Strategic Corporate Development

B. Market Analytics

Table 12: European Recent Past, Current & Future Analysis for Carotid Stents Market Independently Analyzed with Annual Number of Carotid Stent Procedures in Thousands for Years 2004 through 2012 (includes corresponding Graph/Chart)




Table 13: European Recent Past, Current & Future Analysis for Carotid Stents Market Independently Analyzed with Annual Revenues in US$ Million for Years 2004 through 2012 (includes corresponding Graph/Chart)

3. Rest of World

A. Market Analysis

Current and Future Analysis

Carotid Stenting Scenario in India

B. Market Analytics

Table 14: Rest of World Recent Past, Current & Future Analysis for Carotid Stents Market Independently Analyzed with Annual Number of Carotid Stent Procedures in Thousands for Years 2004 through 2012 (includes corresponding Graph/Chart)




Table 15: Rest of World Recent Past, Current & Future Analysis for Carotid Stents Market Independently Analyzed with Annual Revenues in US$ Million for Years 2004 through 2012 (includes corresponding Graph/Chart)

IV. COMPETITIVE LANDSCAPE

Total Companies Profiled: 10 (including Divisions/Subsidiaries - 14)

Region/Country Players

The United States 12

Europe 2

Italy 1

Rest of Europe 1


Abstract

This report analyzes the worldwide markets for Carotid Stents in Thousand Units and US$ Million. The report provides separate comprehensive analytics for the US, Europe and Rest of World. Annual forecasts are provided for each region for the period of 2004 through 2012. The report profiles 10 companies including many key and niche players worldwide such as Abbott Vascular, Boston Scientific Corporation, ev3, Inc., Johnson & Johnson, Cordis Corporation, Kensey Nash Corporation, and Medtronic, Inc. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.


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