This report details the responses of a comprehensive survey conducted of interventional cardiologists, interventional radiologists and cardiac surgeons on product preferences, placement techniques and trends in the use of drug eluting and bare metal stents, bifurcated stents, bioabsorbable stents, stent grafts, vulnerable plaque diagnosis and treatment and endovascular imaging technologies. The Global Physician Survey on Stents, Stent-Grafts and Endovascular Imaging includes: - The United States - Europe - Asia-Pacific - Latin America - Middle East - Africa This report covers: - Number and Type of Stents Placed - Type of Endovascular Imaging Used - Bifurcated Stents and Their Use - Most Important Benefit When Using Bifurcated Stents - Preferred Bifurcated Stent Alternative - Bioabsorbable Stents and Their Use - Most Important Benefit When Using Bioabsorbable Stents - Most Important Bioabsorable Stent Drawback - Most Important Drug-Eluting Stent Concern - Most Effective Drug-Eluting Stent Drug for Combating Restenosis - Stent-Graft Brand Preference - Most Important Construction Feature for Stent-Grafts - Most Important Design Feature for Next Generation Stent-Grafts - The Use of Thoracic Aortic Aneurysm (TAA) Stent-Grafts - Concerns about the Use of TAA Stent-Grafts
Global Physician Survey on Stents, Stent-Grafts and Vulnerable Plaque Treatment 2011
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Global Physician Survey on Stents, Stent-Grafts and Vulnerable
Plaque Treatment 2011
Published on January 2011
Report Summary
This report details the responses of a comprehensive survey conducted of interventional cardiologists, interventional radiologists and
cardiac surgeons on product preferences, placement techniques and trends in the use of drug eluting and bare metal stents,
bifurcated stents, bioabsorbable stents, stent grafts, vulnerable plaque diagnosis and treatment and endovascular imaging
technologies. The Global Physician Survey on Stents, Stent-Grafts and Endovascular Imaging includes:
- The United States
- Europe
- Asia-Pacific
- Latin America
- Middle East
- Africa
This report covers:
- Number and Type of Stents Placed
- Type of Endovascular Imaging Used
- Bifurcated Stents and Their Use
- Most Important Benefit When Using Bifurcated Stents
- Preferred Bifurcated Stent Alternative
- Bioabsorbable Stents and Their Use
- Most Important Benefit When Using Bioabsorbable Stents
- Most Important Bioabsorable Stent Drawback
- Most Important Drug-Eluting Stent Concern
- Most Effective Drug-Eluting Stent Drug for Combating Restenosis
- Stent-Graft Brand Preference
- Most Important Construction Feature for Stent-Grafts
- Most Important Design Feature for Next Generation Stent-Grafts
- The Use of Thoracic Aortic Aneurysm (TAA) Stent-Grafts
- Concerns about the Use of TAA Stent-Grafts
Table of Content
TABLE OF CONTENTS
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EXECUTIVE SUMMARY. 1
1.1 SURVEY OVERVIEW 1
1.2 CORONARY AND PERIPHERAL STENTS . 2
1.3 ENDOVASCULAR IMAGING TECHNOLOGY 3
1.4 BIFURCATED STENT BENEFITS AND DRAWBACKS . 3
1.5 ALTERNATIVES TO BIFURCATED STENTS . 4
1.6 BIOABSORBABLE STENT BENEFITS AND DRAWBACKS. 5
1.7 DRUG-ELUTING STENTS . 5
1.8 IMPORTANT STENT-GRAFT CONSTRUCTION FEATURES. 6
1.9 STENT-GRAFT BRAND PREFERENCE. 6
1.10 THORACIC ABDOMINAL ANEURYSM STENT-GRAFTS 6
1.11 VULNERABLE PLAQUE SCREENING 7
1.12 VULNERABLE PLAQUE TREATMENT. 8
1.13 LIST OF COUNTRIES AND TOPICS 9
SURVEY HIGHLIGHTS 2
2.1 RESPONDENT CHARACTERISTICS . 2
2.2 RESPONSE SUMMARY . 4
RESEARCH METHODOLOGY. 5
3.1 RESEARCH SCOPE . 5
GLOBAL STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE 6
4.1 INTRODUCTION . 6
4.1.1 Bioabsorbable Stents 6
4.1.2 Bifurcated Stents . 7
4.1.3 Stent-Grafts. 8
4.1.4 Vulnerable Plaque 9
4.2 GLOBAL OVERVIEW FOR STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE 11
4.2.1 Geographical Distribution 11
4.2.2 Respondent Specialty 12
4.2.3 Number and Type of Stents Placed . 14
4.2.4 Type of Endovascular Imaging Used 17
4.2.5 Bifurcated Stents and Their Use . 21
4.2.6 Most Important Benefit of Bifurcated Stents. 25
4.2.7 Most Important Bifurcated Stent Drawback . 28
4.2.8 Preferred Bifurcated Stent Alternatives 31
4.2.9 Bioabsorbable Stents and Their Use. 37
4.2.10 Most Important Bioabsorbable Stent Benefit 41
4.2.11 Most Important Bioabsorbable Stent Drawback 45
4.2.12 Most Important Drug-Eluting Stent Concern . 48
4.2.13 Most Effective Drug-Eluting Stent Drug for Combating Restenosis 51
4.2.14 Stent-Graft Brand Preference . 56
4.2.15 Most Important Construction Feature for Stent-Grafts 62
4.2.16 Most Important Design Feature for Next-Generation Stent-Grafts 65
4.2.17 The Use of Thoracic Aortic Aneurysm (TAA) Stent-Grafts. 68
4.2.18 Concerns about the Use of TAA Stent-Grafts . 70
4.2.19 Most Promising Vulnerable Plaque Screening Technology . 73
4.2.20 Most Promising Vulnerable Plaque Treatment Technology. 77
U.S. STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE . 80
5.1 GEOGRAPHICAL DISTRIBUTION 80
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5.2 RESPONDENT SPECIALTY 81
5.3 NUMBER AND TYPE OF STENTS PLACED 82
5.4 TYPE OF ENDOVASCULAR IMAGING USED . 87
5.5 BIFURCATED STENTS AND THEIR USE 91
5.6MOST IMPORTANT BENEFIT WHEN USING BIFURCATED STENTS 92
5.7 DRAWBACKS TO THE USE OF BIFURCATED STENTS. 94
5.8 PREFERRED BIFURCATED STENT ALTERNATIVES 97
5.8.1 Preferred Bifurcated Stent Alternatives by Specialty . 99
5.9 BIOABSORBABLE STENTS AND THEIR USE . 102
5.10MOST IMPORTANT BENEFIT WHEN USING BIOABSORBABLE STENTS . 103
5.11MOST IMPORTANT BIOABSORBABLE STENT DRAWBACK 105
5.12MOST IMPORTANT DRUG-ELUTING STENT CONCERN 107
5.13MOST EFFECTIVE DRUG-ELUTING STENT DRUG FOR COMBATING RESTENOSIS. 109
5.13.1 Most Effective Drug-Eluting Stent Drug for Combating Restenosis by
Specialty 111
5.14 PREFERRED BRAND OF STENT-GRAFT 114
5.15MOST IMPORTANT CONSTRUCTION FEATURE FOR STENT-GRAFTS . 116
5.16MOST IMPORTANT DESIGN FEATURE FOR NEXT-GENERATION STENT-GRAFTS. 118
5.17 THE USE OF THORACIC AORTIC ANEURYSM STENT-GRAFTS 120
5.18 CONCERNS ABOUT THE USE OF TAA STENT-GRAFTS 122
5.19MOST PROMISING VULNERABLE PLAQUE SCREENING TECHNOLOGY. 124
5.19.1 Most Promising Vulnerable Plaque Screening Technology by Specialty. 127
5.20MOST PROMISING VULNERABLE PLAQUE TREATMENT TECHNOLOGY 131
5.20.1 Most Promising Vulnerable Plaque Treatment Technology by Specialty 133
EUROPEAN STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE 136
6.1 GEOGRAPHICAL DISTRIBUTION 136
6.2 RESPONDENT SPECIALTY 137
6.3 NUMBER AND TYPE OF STENTS PLACED 138
6.4 TYPE OF ENDOVASCULAR IMAGING USED . 143
6.5 BIFURCATED STENTS AND THEIR USE 146
6.6MOST IMPORTANT BENEFIT WHEN USING BIFURCATED STENTS 147
6.7 DRAWBACKS TO THE USE OF BIFURCATED STENTS. 149
6.8 PREFERRED BIFURCATED STENT ALTERNATIVES 151
6.8.1 Preferred Bifurcated Stent Alternatives by Specialty . 153
6.9 BIOABSORBABLE STENTS AND THEIR USE . 155
6.10MOST IMPORTANT BENEFIT WHEN USING BIOABSORBABLE STENTS . 156
6.11MOST IMPORTANT BIOABSORBABLE STENT DRAWBACK 158
6.12MOST IMPORTANT DRUG-ELUTING STENT CONCERN 160
6.13MOST EFFECTIVE DRUG-ELUTING STENT DRUG FOR COMBATING RESTENOSIS. 162
6.13.1 Most Effective Drug-Eluting Stent Drug for Combating Restenosis by
Specialty 164
6.14 PREFERRED BRAND OF STENT-GRAFT 167
6.15MOST IMPORTANT CONSTRUCTION FEATURE FOR STENT-GRAFTS . 169
6.16MOST IMPORTANT DESIGN FEATURE FOR NEXT-GENERATION STENT-GRAFTS . 171
6.17 THE USE OF THORACIC AORTIC ANEURYSM (TAA) STENT-GRAFTS 173
6.18 CONCERNS ABOUT THE USE OF TAA STENT-GRAFTS 175
6.19MOST PROMISING VULNERABLE PLAQUE SCREENING TECHNOLOGY. 177
6.19.1 Most Promising Vulnerable Plaque Screening Technology by Specialty. 179
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6.20MOST PROMISING VULNERABLE PLAQUE TREATMENT TECHNOLOGY 182
LATIN AMERICAN STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE 184
7.1 GEOGRAPHICAL DISTRIBUTION 184
7.2 RESPONDENT SPECIALTY 185
7.3 NUMBER AND TYPE OF STENTS PLACED 185
7.4 TYPE OF ENDOVASCULAR IMAGING USED . 189
7.4.1 Imaging Technology Preference by Country 189
7.5 BIFURCATED STENTS AND THEIR USE 193
7.6MOST IMPORTANT BENEFIT WHEN USING BIFURCATED STENTS 194
7.7 DRAWBACKS TO THE USE OF BIFURCATED STENTS. 196
7.8 PREFERRED BIFURCATED STENT ALTERNATIVES 198
7.9 BIOABSORBABLE STENTS AND THEIR USE . 200
7.10MOST IMPORTANT BENEFIT WHEN USING BIOABSORBABLE STENTS . 201
7.11MOST IMPORTANT BIOABSORBABLE STENT DRAWBACK 203
7.12MOST IMPORTANT DRUG-ELUTING STENT CONCERN 205
7.13MOST EFFECTIVE DRUG-ELUTING STENT DRUG FOR COMBATING RESTENOSIS. 207
7.14 PREFERRED BRAND OF STENT-GRAFT 209
7.15MOST IMPORTANT CONSTRUCTION FEATURE FOR STENT-GRAFTS . 211
7.16MOST IMPORTANT DESIGN FEATURE FOR NEXT-GENERATION STENT-GRAFTS . 213
7.17 THE USE OF THORACIC AORTIC ANEURYSM (TAA) STENT-GRAFTS 215
7.18 CONCERNS ABOUT THE USE OF TAA STENT-GRAFTS 216
7.19MOST PROMISING VULNERABLE PLAQUE SCREENING TECHNOLOGY. 218
7.20MOST PROMISING VULNERABLE PLAQUE TREATMENT TECHNOLOGY 220
ASIA-PACIFIC STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE. 222
8.1 GEOGRAPHICAL DISTRIBUTION 222
8.2 RESPONDENT SPECIALTY 223
8.3 NUMBER AND TYPE OF STENTS PLACED 224
8.4 TYPE OF ENDOVASCULAR IMAGING USED . 228
8.4.1 Imaging Technology Preference by Country 230
8.5 BIFURCATED STENTS AND THEIR USE 231
8.6MOST IMPORTANT BENEFIT WHEN USING BIFURCATED STENTS 232
8.7 DRAWBACKS TO THE USE OF BIFURCATED STENTS. 234
8.8 PREFERRED BIFURCATED STENT ALTERNATIVES 237
8.9 BIOABSORBABLE STENTS AND THEIR USE . 239
8.10MOST IMPORTANT BENEFIT WHEN USING BIOABSORBABLE STENTS . 240
8.11MOST IMPORTANT BIOABSORBABLE STENT DRAWBACK 242
8.12MOST IMPORTANT DRUG-ELUTING STENT CONCERN 244
8.13MOST EFFECTIVE DRUG-ELUTING STENT DRUG FOR COMBATING RESTENOSIS. 246
8.14 PREFERRED BRAND OF STENT-GRAFT 248
8.15MOST IMPORTANT CONSTRUCTION FEATURE FOR STENT-GRAFTS . 250
8.16MOST IMPORTANT DESIGN FEATURE FOR NEXT-GENERATION STENT-GRAFTS . 252
8.17 THE USE OF THORACIC AORTIC ANEURYSM (TAA) STENT-GRAFTS 254
8.18 CONCERNS ABOUT THE USE OF TAA STENT-GRAFTS 255
8.19MOST PROMISING VULNERABLE PLAQUE SCREENING TECHNOLOGY. 257
8.20MOST PROMISING VULNERABLE PLAQUE TREATMENT TECHNOLOGY 260
MIDDLE EASTERN AND AFRICAN STENTS, STENT-GRAFTS AND
VULNERABLE PLAQUE 262
9.1 GEOGRAPHICAL DISTRIBUTION 262
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9.2 RESPONDENT SPECIALTY 263
9.3 NUMBER AND TYPE OF STENTS PLACED 263
9.4 TYPE OF ENDOVASCULAR IMAGING USED . 267
9.4.1 Imaging Technology Preference by Country 269
9.5 BIFURCATED STENTS AND THEIR USE 270
9.6MOST IMPORTANT BENEFIT WHEN USING BIFURCATED STENTS 272
9.7 DRAWBACKS TO THE USE OF BIFURCATED STENTS. 274
9.8 PREFERRED BIFURCATED STENT ALTERNATIVES 276
9.9 BIOABSORBABLE STENTS AND THEIR USE . 278
9.10MOST IMPORTANT BENEFIT WHEN USING BIOABSORBABLE STENTS . 280
9.11MOST IMPORTANT BIOABSORBABLE STENT DRAWBACK 282
9.12MOST IMPORTANT DRUG-ELUTING STENT CONCERN 284
9.13MOST EFFECTIVE DRUG-ELUTING STENT DRUG FOR COMBATING RESTENOSIS. 286
9.14 PREFERRED BRAND OF STENT-GRAFT 288
9.15MOST IMPORTANT CONSTRUCTION FEATURE FOR STENT-GRAFTS . 290
9.16MOST IMPORTANT DESIGN FEATURE FOR NEXT-GENERATION STENT-GRAFTS . 292
9.17 THE USE OF THORACIC AORTIC ANEURYSM (TAA) STENT-GRAFTS 294
9.18 CONCERNS ABOUT THE USE OF TAA STENT-GRAFTS 295
9.19MOST PROMISING VULNERABLE PLAQUE SCREENING TECHNOLOGY. 297
9.20MOST PROMISING VULNERABLE PLAQUE TREATMENT TECHNOLOGY 300
ABBREVIATIONS 302
APPENDIX 303
11.1 GEOGRAPHIC DISTRIBUTION OF RESPONSES 303
11.2 TECHNIQUES FOR STENTING BIFURCATED LESIONS 306
11.3 SAMPLE SURVEY. 307
LIST OF FIGURES
EXECUTIVE SUMMARY 1
SURVEY HIGHLIGHTS 2
Figure 2-1: Respondent Characteristics, Stents, Stent-Grafts and Vulnerable
Plaque, 2010 2
Figure 2-2: Respondent Characteristics, Stents, Stent-Grafts and Vulnerable
Plaque, 2010 3
RESEARCH METHODOLOGY 5
GLOBAL STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE 6
Figure 4-1: Geographical Distribution, Global Respondents, 2010 . 11
Figure 4-2: Respondent Specialty, Global Responses, 2010 12
Figure 4-3: Coronary and Peripheral Stents Placed per Month, Global Responses,
2010 15
Figure 4-4: Imaging Technology Preferences, Percentage of Use for
Respondents, Global Responses, 2010 18
Figure 4-5: Imaging Technology Preferences for Endovascular Procedures,
Global Responses, 2010 . 19
Figure 4-6: Bifurcated Stents and Their Use, Global Responses, 2010 21
Figure 4-7: Most Important Bifurcated Stent Benefit, Global Responses, 2010 . 26
Figure 4-8: Most Important Bifurcated Stent Drawback, Global Responses,
2010 29
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Figure 4-9: Preferred Bifurcated Stent Alternatives, Global Responses, 2010
(Part 1 of 2) . 32
Figure 4-10: Preferred Bifurcated Stent Alternatives, Global Responses, 2010
(Part 2 of 2) . 33
Figure 4-11: Bioabsorbable Stents and Their Use, Global Responses, 2010. 37
Figure 4-12: Most Important Bioabsorbable Stent Benefit, Global Responses,
2010 (Part 1 of 2) 42
Figure 4-13: Most Important Bioabsorbable Stent Benefit, Global Responses,
2010 (Part 2 of 2) 43
Figure 4-14: Most Important Bioabsorbable Stent Drawback, Global Responses,
2010 46
Figure 4-15: Most Important Drug-Eluting Stent Concern, Global Responses,
2010 49
Figure 4-16: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
Global Responses, 2010 . 52
Figure 4-17: Stent-Graft Brand Preference, Global Responses, 2010
(Part 1 of 2) . 57
Figure 4-18: Stent-Graft Brand Preference, Global Responses, 2010
(Part 2 of 2) . 58
Figure 4-19: Most Important Construction Feature for Stent-Grafts, Global
Responses, 2010 (Part 1 of 2). 63
Figure 4-20: Most Important Construction Feature for Stent-Grafts, Global
Responses, 2010 (Part 2 of 2). 63
Figure 4-21: Most Important Design Feature for Next-Generation Stent-Grafts,
Global Responses, 2010 . 66
Figure 4-22: The Use of Thoracic Aortic Aneurysm (TAA) Stent-Grafts, Global
Responses, 2010 68
Figure 4-23: Concerns about the Use of TAA Stent-Grafts, Global Responses,
2010 (Part 1 of 2) 71
Figure 4-24: Concerns about the Use of TAA Stent-Grafts, Global Responses,
2010 (Part 2 of 2) 71
Figure 4-25: Most Promising Vulnerable Plaque Screening Technology, Global
Responses, 2010 (Part 1 of 2). 74
Figure 4-26: Most Promising Vulnerable Plaque Screening Technology, Global
Responses, 2010 (Part 2 of 2). 75
Figure 4-27: Most Promising Vulnerable Plaque Treatment Technology, Global
Responses, 2010 78
U.S. STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE. 80
Figure 5-1: Distribution of Survey Respondents by Geographic Region, U.S.
Responses, 2010 80
Figure 5-2: Distribution of Survey Respondents by Specialty, U.S. Responses,
2010 81
Figure 5-3: Number and Type of Stents Placed, U.S. Responses, 2010. 83
Figure 5-4: Type of Medical Imaging Used for Endovascular Procedures, U.S.
Responses, 2010 88
Figure 5-5: Type of Medical Imaging Used for Endovascular Procedures by
Specialty, U.S. Responses, 2010 89
Figure 5-6: Bifurcated Stents and Their Use, U.S. Responses, 2010 91
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Figure 5-7: Most Important Benefit When Using Bifurcated Stents, U.S.
Responses, 2010 92
Figure 5-8: Drawbacks to the Use of Bifurcated Stents, U.S. Responses, 2010 95
Figure 5-9: Preferred Bifurcated Stent Alternatives, U.S. Responses, 2010 . 97
Figure 5-10: Preferred Bifurcated Stent Alternatives by Specialty, U.S.
Responses, 2010 100
Figure 5-11: Bioabsorbable Stents and Their Use, U.S. Responses, 2010 102
Figure 5-12: Most Important Benefit When Using Bioabsorbable Stents, U.S.
Responses, 2010 103
Figure 5-13: Most Important Bioabsorbable Stent Drawback, U.S. Responses,
2010 105
Figure 5-14: Most Important Drug-Eluting Stent Concern, U.S. Responses,
2010 107
Figure 5-15: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
U.S. Responses, 2010. 109
Figure 5-16: Most Effective Drug-Eluting Stent Drug for Combating Restenosis
by Specialty, U.S. Responses, 2010 112
Figure 5-17: Preferred Brand of Stent-Graft, U.S. Responses, 2010 115
Figure 5-18: Most Important Construction Feature for Stent-Grafts, U.S.
Responses, 2010 117
Figure 5-19: Most Important Design Feature for Next-Generation Stent-Grafts,
U.S. Responses, 2010. 119
Figure 5-20: Use of Thoracic Aortic Aneurysm (TAA) Stent-Grafts, U.S.
Responses, 2010 120
Figure 5-21: Concerns about the Use of TAA Stent-Grafts, U.S. Responses,
2010 122
Figure 5-22: Most Promising Vulnerable Plaque Screening Technology, U.S.
Responses, 2010 125
Figure 5-23: Most Promising Vulnerable Plaque Screening Technology by
Specialty, U.S. Responses, 2010 (Part 1 of 2) 128
Figure 5-24: Most Promising Vulnerable Plaque Screening Technology by
Specialty, U.S. Responses, 2010 (Part 2 of 2) 129
Figure 5-25: Most Promising Vulnerable Plaque Treatment Technology, U.S.
Responses, 2010 132
Figure 5-26: Most Promising Vulnerable Plaque Treatment Technology by
Specialty, U.S. Responses, 2010 134
EUROPEAN STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE 136
Figure 6-1: Distribution of Survey Respondents by Geographic Region,
European Responses, 2010 . 136
Figure 6-2: Distribution of Survey Respondents by Specialty, European
Responses, 2010 137
Figure 6-3: Number and Type of Stents Placed Per Month, European Responses,
2010 139
Figure 6-4: Type of Medical Imaging Used for Endovascular Procedures,
European Responses, 2010 . 144
Figure 6-5: Type of Medical Imaging Used for Endovascular Procedures by
Specialty, European Responses, 2010 . 144
Figure 6-6: Bifurcated Stents and Their Use, European Responses, 2010 146
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Figure 6-7: Most Important Benefit When Using Bifurcated Stents, European
Responses, 2010 147
Figure 6-8: Drawbacks to the Use of Bifurcated Stents, European Responses,
2010 150
Figure 6-9: Preferred Bifurcated Stent Alternatives, European Responses,
2010 151
Figure 6-10: Preferred Bifurcated Stent Alternatives by Specialty, European
Responses, 2010 153
Figure 6-11: Bioabsorbable Stents and Their Use, European Responses, 2010. 155
Figure 6-12: Most Important Benefit When Using Bioabsorbable Stents,
European Responses, 2010 . 156
Figure 6-13: Most Important Bioabsorbable Stent Drawback, European
Responses, 2010 158
Figure 6-14: Most Important Drug-Eluting Stent Concern, European Responses,
2010 160
Figure 6-15: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
European Responses, 2010 . 162
Figure 6-16: Most Effective Drug-Eluting Stent Drug for Combating Restenosis
by Specialty, European Responses, 2010 165
Figure 6-17: Preferred Brand of Stent-Graft, European Responses, 2010 168
Figure 6-18: Most Important Construction Feature for Stent-Grafts, European
Responses, 2010 170
Figure 6-19: Most Important Design Feature for Next-Generation Stent-Grafts,
European Responses, 2010 . 172
Figure 6-20: Use of Thoracic Aortic Aneurysm (TAA) Stent-Grafts, European
Responses, 2010 173
Figure 6-21: Concerns about the Use of TAA Stent-Grafts, European Responses,
2010 175
Figure 6-22: Most Promising Vulnerable Plaque Screening Technology,
European Responses, 2010 . 177
Figure 6-23: Most Promising Vulnerable Plaque Screening Technology by
Specialty, European Responses, 2010 . 180
Figure 6-24: Most Promising Vulnerable Plaque Treatment Technology,
European Responses, 2010 . 182
LATIN AMERICAN STENTS, STENT-GRAFTS AND VULNERABLE
PLAQUE . 184
Figure 7-1: Distribution of Survey Respondents by Geographic Region,
Latin American Responses, 2010 184
Figure 7-2: Number and Type of Stents Placed per Month, Latin American
Responses, 2010 185
Figure 7-3: Type of Medical Imaging Used for Endovascular Procedures,
Latin American Responses, 2010 190
Figure 7-4: Type of Medical Imaging Used for Endovascular Procedures by
Country, Latin American Responses, 2010 . 190
Figure 7-5: Bifurcated Stents and Their Use, Latin American Responses,
2010 193
Figure 7-6: Most Important Benefit When Using Bifurcated Stents,
Latin American Responses, 2010 194
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Figure 7-7: Drawbacks to the Use of Bifurcated Stents, Latin American
Responses, 2010 196
Figure 7-8: Preferred Bifurcated Stent Alternatives, Latin American Responses,
2010 198
Figure 7-9: Bioabsorbable Stents and Their Use, Latin American Responses,
2010 200
Figure 7-10: Most Important Benefit When Using Bioabsorbable Stents,
Latin American Responses, 2010 201
Figure 7-11: Most Important Bioabsorbable Stent Drawback, Latin American
Responses, 2010 203
Figure 7-12: Most Important Drug-Eluting Stent Concern, Latin American
Responses, 2010 205
Figure 7-13: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
Latin American Responses, 2010 207
Figure 7-14: Preferred Brand of Stent-Graft, Latin American Responses, 2010 . 209
Figure 7-15: Most Important Construction Feature for Stent-Grafts,
Latin American Responses, 2010 212
Figure 7-16: Most Important Design Feature for Next-Generation Stent-Grafts,
Latin American Responses, 2010 214
Figure 7-17: Use of Thoracic Aortic Aneurysm (TAA) Stent-Grafts,
Latin American Responses, 2010 215
Figure 7-18: Concerns about the Use of TAA Stent-Grafts, Latin American
Responses, 2010 216
Figure 7-19: Most Promising Vulnerable Plaque Screening Technology,
Latin American Responses, 2010 218
Figure 7-20: Most Promising Vulnerable Plaque Treatment Technology,
Latin American Responses, 2010 220
ASIA-PACIFIC STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE 222
Figure 8-1: Distribution of Survey Respondents by Geographic Region,
Asia-Pacific Responses, 2010. 222
Figure 8-2: Preferred Imaging Technology for DVT Diagnosis, Asia-Pacific
Responses, 2010 223
Figure 8-3: Number and Type of Stents Placed per Month, Asia-Pacific
Responses, 2010 224
Figure 8-4: Type of Medical Imaging Used for Endovascular Procedures,
Asia-Pacific Responses, 2010. 228
Figure 8-5: Type of Medical Imaging Used for Endovascular Procedures by
Country, Asia-Pacific Responses, 2010 230
Figure 8-6: Bifurcated Stents and Their Use, Asia-Pacific Responses, 2010 231
Figure 8-7: Most Important Benefit When Using Bifurcated Stents, Asia-Pacific
Responses, 2010 232
Figure 8-8: Drawbacks to the Use of Bifurcated Stents, Asia-Pacific Responses,
2010 235
Figure 8-9: Preferred Bifurcated Stent Alternatives, Asia-Pacific Responses,
2010 237
Figure 8-10: Bioabsorbable Stents and Their Use, Asia-Pacific Responses,
2010 239
Figure 8-11: Most Important Benefit When Using Bioabsorbable Stents,
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Asia-Pacific Responses, 2010. 240
Figure 8-12: Most Important Bioabsorbable Stent Drawback, Asia-Pacific
Responses, 2010 242
Figure 8-13: Most Important Drug-Eluting Stent Concern, Asia-Pacific
Responses, 2010 244
Figure 8-14: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
Asia-Pacific Responses, 2010. 246
Figure 8-15: Preferred Brand of Stent-Graft, Asia-Pacific Responses, 2010 248
Figure 8-16: Most Important Construction Feature for Stent-Grafts, Asia-Pacific
Responses, 2010 251
Figure 8-17: Most Important Design Feature for Next-Generation Stent-Grafts,
Asia-Pacific Responses, 2010. 253
Figure 8-18: Use of Thoracic Aortic Aneurysm (TAA) Stent-Grafts,
Asia-Pacific Responses, 2010. 254
Figure 8-19: Concerns about the Use of TAA Stent-Grafts, Asia-Pacific
Responses, 2010 255
Figure 8-20: Most Promising Vulnerable Plaque Screening Technology,
Asia-Pacific Responses, 2010. 258
Figure 8-21: Most Promising Vulnerable Plaque Treatment Technology,
Asia-Pacific Responses, 2010. 260
MIDDLE EASTERN AND AFRICAN STENTS, STENT-GRAFTS AND
VULNERABLE PLAQUE 262
Figure 9-1: Distribution of Survey Respondents by Geographic Region,
Middle Eastern and African Responses, 2010 . 262
Figure 9-2: Number and Type of Stents Placed per Month, Middle Eastern and
African Responses, 2010 263
Figure 9-3: Type of Medical Imaging Used for Endovascular Procedures,
Middle Eastern and African Responses, 2010 . 267
Figure 9-4: Type of Medical Imaging Used for Endovascular Procedures by
Country, Middle Eastern and African Responses, 2010 . 270
Figure 9-5: Bifurcated Stents and Their Use, Middle Eastern and African
Responses, 2010 270
Figure 9-6: Most Important Benefit When Using Bifurcated Stents,
Middle Eastern and African Responses, 2010 . 272
Figure 9-7: Drawbacks to the Use of Bifurcated Stents, Middle Eastern and
African Responses, 2010 274
Figure 9-8: Preferred Bifurcated Stent Alternatives, Middle Eastern and African
Responses, 2010 276
Figure 9-9: Bioabsorbable Stents and Their Use, Middle Eastern and African
Responses, 2010 278
Figure 9-10: Most Important Benefit When Using Bioabsorbable Stents,
Middle Eastern and African Responses, 2010 . 280
Figure 9-11: Most Important Bioabsorbable Stent Drawback, Middle Eastern and
African Responses, 2010 282
Figure 9-12: Most Important Drug-Eluting Stent Concern, Middle Eastern and
African Responses, 2010 284
Figure 9-13: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
Middle Eastern and African Responses, 2010 . 286
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Figure 9-14: Preferred Brand of Stent-Graft, Middle Eastern and African
Responses, 2010 288
Figure 9-15: Most Important Construction Feature for Stent-Grafts,
Middle Eastern and African Responses, 2010 . 291
Figure 9-16: Most Important Design Feature for Next-Generation Stent-Grafts,
Middle Eastern and African Responses, 2010 . 293
Figure 9-17: Use of Thoracic Aortic Aneurysm (TAA) Stent-Grafts,
Middle Eastern and African Responses, 2010 . 294
Figure 9-18: Concerns about the Use of TAA Stent-Grafts, Middle Eastern and
African Responses, 2010 295
Figure 9-19: Most Promising Vulnerable Plaque Screening Technology,
Middle Eastern and African Responses, 2010 . 298
Figure 9-20: Most Promising Vulnerable Plaque Treatment Technology,
Middle Eastern and African Responses, 2010 . 300
ABBREVIATIONS 302
APPENDIX 303
Figure 11-1: Geographic Distribution of Responses, U.S., 2010 . 303
Figure 11-2: Geographic Distribution of Responses, European Region, 2010 304
Figure 11-3: Geographic Distribution of Responses, Latin American Region,
2010 304
Figure 11-4: Geographic Distribution of Responses, Asia-Pacific Region,
2010 305
Figure 11-5: Geographic Distribution of Responses, Middle Eastern and African
Region, 2010 . 305
LIST OF CHARTS
EXECUTIVE SUMMARY 1
Chart 1-1: Respondent Location by Geographic Region, Global Responses,
Stents, Stent-Grafts and Vulnerable Plaque, 2010 . 1
Chart 1-2: Average Number of Stents Placed per Month by Respondents, Global
Responses, Stents, Stent-Grafts and Vulnerable Plaque, 2010 . 2
Chart 1-3: Bifurcated Stent Alternatives, Global Responses, Stents, Stent-Grafts
and Vulnerable Plaque, 2010 4
Chart 1-4: Vulnerable Plaque Screening Technology, Global Responses, Stents,
Stent-Grafts and Vulnerable Plaque, 2010 7
Chart 1-5: Most Promising Vulnerable Plaque Treatment, U.S. Respondents,
Stents, Stent-Grafts and Vulnerable Plaque, 2010 . 8
SURVEY HIGHLIGHTS 2
RESEARCH METHODOLOGY 5
GLOBAL STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE 6
Chart 4-1: Respondent Specialty, Global Responses, 2010 13
Chart 4-2: Average Stents Placed per Respondent, Global Responses, 2010 16
Chart 4-3: Imaging Technology Preferences, Percentage of Total, Global
Responses, 2010 20
Chart 4-4: Bifurcated Stents and Their Use, U.S. Responses, 2010 . 22
Chart 4-5: Bifurcated Stents and Their Use, European Responses, 2010 22
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Chart 4-6: Bifurcated Stents and Their Use, Latin American Responses, 2010 23
Chart 4-7: Bifurcated Stents and Their Use, Asia-Pacific Responses, 2010 . 23
Chart 4-8: Bifurcated Stents and Their Use, Middle Eastern and African
Responses, 2010 24
Chart 4-9: Most Important Bifurcated Stent Benefit, Global Responses, 2010 . 27
Chart 4-10: Most Important Bifurcated Stent Drawback, Global Responses,
2010 30
Chart 4-11: Preferred Bifurcated Stent Alternatives, U.S. Responses, 2010. 34
Chart 4-12: Preferred Bifurcated Stent Alternatives, European Responses, 2010 . 34
Chart 4-13: Preferred Bifurcated Stent Alternatives, Latin American Responses,
2010 35
Chart 4-14: Preferred Bifurcated Stent Alternatives, Asia-Pacific Responses,
2010 35
Chart 4-15: Preferred Bifurcated Stent Alternatives, Middle Eastern and African
Responses, 2010 36
Chart 4-16: Bioabsorbable Stents and Their Use, U.S. Responses, 2010 38
Chart 4-17: Bioabsorbable Stents and Their Use, European Responses, 2010 38
Chart 4-18: Bioabsorbable Stents and Their Use, Latin American Responses,
2010 39
Chart 4-19: Bioabsorbable Stents and Their Use, Asia-Pacific Responses, 2010 39
Chart 4-20: Bioabsorbable Stents and Their Use, Middle Eastern and African
Responses, 2010 40
Chart 4-21: Most Important Bioabsorbable Stent Benefit, Global Responses,
2010 44
Chart 4-22: Most Important Bioabsorbable Stent Drawback, Global Responses,
2010 47
Chart 4-23: Most Important Drug-Eluting Stent Concern, Global Responses,
2010 50
Chart 4-24: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
U.S. Responses, 2010. 53
Chart 4-25: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
European Responses, 2010 . 53
Chart 4-26: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
Latin American Responses, 2010 54
Chart 4-27: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
Asia-Pacific Responses, 2010. 54
Chart 4-28: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
Middle Eastern and African Responses, 2010 . 55
Chart 4-29: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
U.S. Responses, 2010. 59
Chart 4-30: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
European Responses, 2010 . 59
Chart 4-31: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
Latin American Responses, 2010 60
Chart 4-32: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
Asia-Pacific Responses, 2010. 60
Chart 4-33: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
Middle Eastern and African Responses, 2010 . 61
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Chart 4-34: Most Important Construction Feature for Stent-Grafts, Global
Responses, 2010 64
Chart 4-35: Most Important Design Feature for Next-Generation Stent-Grafts,
Global Responses, 2010 . 67
Chart 4-36: The Use of Thoracic Aortic Aneurysm (TAA) Stent-Grafts, Global
Responses, 2010 69
Chart 4-37: Concerns about the Use of TAA Stent-Grafts, Global Responses,
2010 72
Chart 4-38: Most Promising Vulnerable Plaque Screening Technology, Global
Responses, 2010 76
Chart 4-39: Most Promising Vulnerable Plaque Treatment Technology, Global
Responses, 2010 79
U.S. STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE. 80
Chart 5-1: Total Number of Stents Placed per Month, U.S. Responses, 2010. 84
Chart 5-2: Number of Coronary Stents Placed per Month, U.S. Responses,
2010 85
Chart 5-3: Number of Peripheral Stents Placed per Month, U.S. Responses,
2010 86
Chart 5-4: Type of Medical Imaging Used for Endovascular Procedures, U.S.
Responses, 2010 90
Chart 5-5: Bifurcated Stents and Their Use, U.S. Responses, 201 . 91
Chart 5-6: Most Important Benefit When Using Bifurcated Stents, U.S.
Responses, 2010 93
Chart 5-7: Drawbacks to the Use of Bifurcated Stents, U.S. Responses, 2010 . 96
Chart 5-8: Preferred Bifurcated Stent Alternatives, U.S. Responses, 2010 98
Chart 5-9: Preferred Bifurcated Stent Alternatives by Specialty, U.S. Responses,
2010 101
Chart 5-10: Bioabsorbable Stents and Their Use, U.S. Responses, 2010 102
Chart 5-11: Most Important Benefit When Using Bioabsorbable Stents, U.S.
Responses, 2010 104
Chart 5-12: Most Important Bioabsorbable Stent Drawback, U.S. Responses,
2010 106
Chart 5-13: Most Important Drug-Eluting Stent Concern, U.S. Responses, 2010108
Chart 5-14: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
U.S. Responses, 2010. 110
Chart 5-15: Most Effective Drug-Eluting Stent Drug for Combating Restenosis
by Specialty, U.S. Responses, 2010 113
Chart 5-16: Preferred Brand of Stent-Graft, U.S. Responses, 2010 . 115
Chart 5-17: Most Important Construction Feature for Stent-Grafts, U.S.
Responses, 2010 117
Chart 5-18: Most Important Design Feature for Next-Generation Stent-Grafts,
U.S. Responses, 2010. 119
Chart 5-19: Use of TAA Stent-Grafts, U.S. Responses, 2010 121
Chart 5-20: Concerns about the Use of TAA Stent-Grafts, U.S. Responses,
2010 123
Chart 5-21: Most Promising Vulnerable Plaque Screening Technology, U.S.
Responses, 2010 126
Chart 5-22: Most Promising Vulnerable Plaque Screening Technology by
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Specialty, U.S. Responses, 2010 130
Chart 5-23: Most Promising Vulnerable Plaque Treatment Technology, U.S.
Responses, 2010 132
Chart 5-24: Most Promising Vulnerable Plaque Treatment Technology by
Specialty, U.S. Responses, 2010 135
EUROPEAN STENTS, STENT-GRAFTS AND VULNERABLE PLAQUE 136
Chart 6-1: Total Number of Stents Placed per Month, European Responses,
2010 140
Chart 6-2: Number of Coronary Stents Placed per Month, European Responses,
2010 141
Chart 6-3: Number of Peripheral Stents Placed per Month, European Responses,
2010 142
Chart 6-4: Type of Medical Imaging Used for Endovascular Procedures,
European Responses, 2010 . 145
Chart 6-5: Bifurcated Stents and Their Use, European Responses, 2010 146
Chart 6-6: Most Important Benefit When Using Bifurcated Stents, European
Responses, 2010 148
Chart 6-7: Drawbacks to the Use of Bifurcated Stents, European Responses,
2010 150
Chart 6-8: Preferred Bifurcated Stent Alternatives, European Responses,
2010 152
Chart 6-9: Preferred Bifurcated Stent Alternatives by Specialty, European
Responses, 2010 154
Chart 6-10: Bioabsorbable Stents and Their Use, European Responses, 2010 155
Chart 6-11: Most Important Benefit When Using Bioabsorbable Stents,
European Responses, 2010 . 157
Chart 6-12: Most Important Bioabsorbable Stent Drawback, European
Responses, 2010 159
Chart 6-13: Most Important Drug-Eluting Stent Concern, European Responses,
2010 161
Chart 6-14: Most Effective Drug-Eluting Stent Drug for Combating Restenosis,
European Responses, 2010 . 163
Chart 6-15: Most Effective Drug-Eluting Stent Drug for Combating Restenosis
by Specialty, European Responses, 2010 166
Chart 6-16: Preferred Brand of Stent-Graft, European Responses, 2010 168
Chart 6-17: Most Important Construction Feature for Stent-Grafts, European
Responses, 2010 170
Chart 6-18: Most Impor
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