Re-Evaluating Growth Opportunities In Vascular Interventional Device Markets

Manufacturers are finding it harder to innovate in the vascular interventional device arena as market and regulatory pressures take their toll. New coronary drug-eluting stents face a difficult challenge with the high bar now set by existing devices, and there have been several recent disappointments in the areas of renal denervation, drug-coated balloons, and renal artery stenting; still there are areas of opportunity that continue to look promising, with bioresorbable stents offering perhaps the best prospect among vascular therapies for future blockbuster status.

Last October, interventional cardiologists marked the 25th anniversary of the Transcatheter Cardiovascular Therapeutics (TCT) conference, long recognized as the premier US showcase for new, and often groundbreaking, vascular interventional technologies. The 2013 TCT, held in San Francisco, CA, paid homage, and rightly so, to the amazing progress the field has witnessed over the past 25 years. But this specialty has a well-earned reputation for constantly pushing the bar of innovation, and it’s safe to assume those in attendance at the 2013 meeting were most keenly interested in the progress the field is likely to make over the next 25 years.

And therein lies something of a conundrum. For although interventional medicine has made great strides over the past three decades, introducing disruptive technologies that have enabled many patients with coronary...

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