Neurovascular guidewires are used in conjunction with microcatheters, which are used to place coils or stents at intracranial locations to treat conditions such as aneurysms and cerebral arteriovenous malformations. Guidewires are inserted into patients through a small incision near the groin and maneuvered through the vascular system to the targeted area. The microcatheter can then be threaded over the guidewire to the treatment area. There is a wide selection of guidewires available and subtle differences between each product allow them to be used for different applications. Important properties of guidewires include flexibility, stiffness, hydrophilic coating, low friction navigation and high torqueability. A torque device can be used to aid navigation and rotation of the guidewire.
Steady increases in unit sales and ASP over the forecast period are expected to drive the guidewire market. Guidewires are a type of access product used in combination with other devices in many neurological procedures. The increasing number of interventional neuroradiology procedures being performed has increased demand for access products and boosted growth in unit sales. More complicated procedures are now being performed so the number of guidewires used per procedure has increased, driving unit sales up. Aneurysm and AVM procedures require 1.7 to 1.8 guidewires per procedure. Innovation in the treatment of ischemic stroke with new technology like stent retrievers and flow diverting stents will drive an increase in the number of guidewires required as well.
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TABLE OF CONTENTS I
LIST OF FIGURES IX
LIST OF CHARTS X
EXECUTIVE SUMMARY 1
U.S. NEUROMODULATION, NEUROVASCULAR, NEUROSURGICAL AND MONITORING DEVICE MARKET OVERVIEW 1
COMPETITIVE ANALYSIS 4
MARKET TRENDS 8
MARKET DEVELOPMENTS 11
PROCEDURE NUMBERS 12
PROCEDURE CODES INVESTIGATED 13
MARKETS INCLUDED 15
KEY REPORT UPDATES 17
VERSION HISTORY 17
RESEARCH METHODOLOGY 18
1.1 RESEARCH SCOPE 18
1.2 IDATA’S 9-STEP METHODOLOGY 18
Step 1: Project Initiation & Team Selection 18
Step 2: Prepare Data Systems and Perform Secondary Research 20
Step 3: Preparation for Interviews & Questionnaire Design 21
Step 4: Performing Primary Research 22
Step 5: Research Analysis: Establishing Baseline Estimates 24
Step 6: Market Forecast and Analysis 25
Step 7: Identify Strategic Opportunities 27
Step 8: Final Review and Market Release 28
Step 9: Customer Feedback and Market Monitoring 29
DISEASE OVERVIEW 30
2.1 BASIC ANATOMY 30
2.2 DISEASE PATHOLOGY AND DISORDERS 32
2.2.1 Introduction 32
2.2.2 General Diagnostics and Neurosurgery 34
2.2.3 Tumor and Brain Cancer 36
2.2.4 Brain Arteriovenous Malformations 38
2.2.5 Ischemic Stroke 39
2.2.6 Brain Aneurysm 40
2.2.7 Disorders Related to Cerebrospinal Fluids and Intracranial Pressure 42
2.2.7.1 Hydrocephalus and Intracranial Pressure Disorder 42
2.2.7.2 Cerebral Edema 43
2.2.8 Indication for Neuromodulation 45
2.2.9 Traumatic brain injury 47
PRODUCT ASSESSMENT 48
3.1 PRODUCT PORTFOLIOS 48
3.1.1 Neurovascular Guidewires 48
3.1.1.1 Introduction 48
3.1.1.2 Product Matrix for Neurovascular Guidewires Market: Core Companies 50
3.1.1.3 Product Matrix for Stereotactic Devices: Core Companies 51
3.2 REGULATORY ISSUES AND RECALLS 52
3.2.1 Neurovascular Guidewires 52
NEUROVASCULAR GUIDEWIRE MARKET 53
4.1 INTRODUCTION 53
4.2 MARKET ANALYSIS AND FORECAST 54
4.3 DRIVERS AND LIMITERS 56
4.3.1 Market Drivers 56
4.3.2 Market Limiters 56
4.4 COMPETITIVE MARKET SHARE ANALYSIS: 58
ABBREVIATIONS 62
APPENDIX: COMPANY PRESS RELEASES 65
Chart 1 1: Neurological Device Market by Segment, U.S., 2013 – 2023 3
Chart 1 2: Neurological Device Market Overview, U.S., 2016 & 2023 3
Chart 4 1: Neurovascular Guidewire Market, U.S., 2013 – 2023 55
Chart 4 2: Leading Competitors, Neurovascular Guidewire Market, U.S., 2016 61
Medtronic
Boston Scientific
St. Jude Medical
Cyberonics
Codman & Shurtleff
Stryker
Integra LifeSciences
InoMed
Mizuho America
RauMedic