Innovations in Cardiovascular Disease Management: Latest Surgical Procedures, Drugs and Medical Devices
Posted on: Monday, 17 September 2007, 06:00 CDT
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Innovations in Cardiovascular Disease Management: Latest surgical procedures, drugs and medical devices
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Despite significant advances in prevention and treatment, cardiovascular disease remains the leading cause of death in economically advanced countries. The developing world has also begun to experience a disconcerting growth in prevalence, where the insurgence of CVD has exacerbated the risk factors associated with indigenous communicable diseases. Keeping pace with epidemiological change in both the developed and developing world constitutes the overriding challenge for industrial players, and involves successfully integrating into localised healthcare systems and reimbursement structures, in addition to remaining aligned with product demand. In the medical device, pharmaceutical and biotechnology industries, this challenge is being met with a focus on products that reduce adverse effects, improve patient outcomes and extend the range of formulations for existing indications. 'Innovations in Cardiovascular Disease Management' is a new report that will examine the major developments shaping the future of the cardiovascular industry. This report will analyse the future potential of new and emerging products from the medical device, pharmaceutical and biotechnology sectors, and measure their likely impact upon the existing market. The extent to which these products can stimulate the growth and development of the future market will also be assessed. Use this report to evaluate the potential of new and emerging products in the treatment of cardiovascular diseases, assess the strength of competitor pipelines and identify future market opportunities...
Table of content
Executive Summary
The Management of Cardiovascular Disease
Cardiovascular and Interventional Procedures
Emerging Coronary Stents and Stent Systems
Innovations in Minimally Invasive Cardiac Surgery
Cardiovascular Drugs in Early Stage Development
New and Emerging Cardiovascular Drugs
Chapter 1 The Management of Cardiovascular Disease
Summary
Introduction
The Global Burden of Cardiovascular Disease
CVD remains the leading cause of death in the United States
CVD Rates in Central and Eastern Europe
Noncommunicable Diseases in the Developing World
Background to the Major Cardiovascular Conditions
Coronary Artery Disease (CAD)
Atherosclerosis
Angina Pectoris
Acute Myocardial Infarction (MI)
Heart Valve Disorders
Aortic heart valve
Mitral Valve Disease
Pulmonary Valve Disease
Tricuspid Valve Disease
High Blood Pressure: Hypertension
Heart Rhythm Disorders (Heart Arrhythmia)
Peripheral Vascular Disease
Peripheral Artery Disease (PAD)
Peripheral Venous Disorders (PVD)
Stroke or Cerebrovascular Accidents (CVA)
Ischaemic Stroke
Haemorrhagic stroke
Chapter 2 Latest Developments in Cardiovascular and PCI Procedures
Summary
Introduction to Percutaneous Coronary Interventions
Indications for PCI
PCI Procedural Volumes
PCI Used Primarily to Treat Unstable Angina and acute ST-elevation MI
Inter-country Variance in PCI Procedural Rates
China and India: Huge growth potential and market development
Latest Developments in PCI Procedures
Embolic Protection Devices
Current Products
Development Stage Products and Current Status
Future Technologies and Trends
Coronary Atherectomy
Rotational Coronary Atherectomy (Rotoblation)
Directional Coronary Atherectomy (DCA)
Orbital Atherectomy
Ablative laser-assisted angioplasty
Chapter 3 Emerging Coronary Stents and Stent Systems
Summary
Emerging Coronary Stents and Stent Systems
Key Events
Introduction of Drug-Eluting Stents (DES)
Development of Drug-Eluting Stents
Sirolimus (Rapamycin)
Paclitaxel
Tacrolimus
Everolimus (RAD-001)
Zotarolimus (also called ABT-578)
DES -- Recent News, Product Developments and Clinical Trial Updates
Market Developments and Forecasts for Drug-Eluting Stents
Emergence of Bioabsorbable Stents
Biomaterials and Bioabsorbable Polymers
Further Coronary Stent Developments and Technological Trends
Novel Coating Technologies
Gene Therapy technologies and its Potential Use to Prevent Restenosis
Coronary Stents and Endothelial Progenitor Cells (EPCs)
Nanotechnologies and Drug-Eluting Coronary Stents
Development of Novel Estradiol Containing Drug-Eluting Stents
Stem-Cell Derived Endovascular Cells
Chapter 4 Innovations in Minimally Invasive Cardiac Surgery (MICS)
Summary
Introduction
Minimally Invasive Direct Coronary Artery Bypass (MID-CAB)
Indications for MIDCAB
Off-Pump Coronary Artery Bypass (OP-CAB)
Indications for OP-CAB
Minimally Invasive Port Access
Indications for Minimally Invasive Port Access
Robotic Assisted Coronary Artery Bypass (RA-CAB)
Current and Emerging Technologies
Robotics in Minimally Invasive Cardiac Surgery
Robotic Systems
Computer Aided Cardiac Surgery
Virtual Reality in Cardiac Surgery
Laser Heart Surgery or transmyocardial Laser revascularization (TMLR)
The CO2 Heart Laser System
The holmium:YAG (yttrium aluminium garnet) laser
The excimer laser
Chapter 5 Cardiovascular Drugs in Early Stage Development
Summary
Introduction
Early Developments in Key Cardiovascular Disease Classes
Angina
Arrhythmiasis
Atherosclerosis
Atrial Fibrillation
Congestive Heart Failure
Hypercholesterolemia
Hypertension
Myocardial Infarction
Thrombosis
Chapter 6 New and Emerging Cardiovascular Drugs
Summary
Introduction
Anti-Hypertensives
Tekturna (Aliskiren)
Development of a New Class of Renin Inhibitors
Exforge (valsartan plus amlodipine)
CHF-1521
Cleviprex(TM) (Clevidipine)
Antihypertensives: Current Pipeline and Late Stage Development
Cardoxal (MC-4232) (MC-1 cardioprotectant plus lisinopril)
Darusentan
Ambrisentan
Nebivolol
Zanipress® / Zanitek®
Thelin™ (Sitaxsentan)
TBC3711
Anti-Dyslipidemics
Pfizer discontinues torcetrapib development
R1658
Simcor (Niaspan® (extended-release niacin) and simvastatin (generic Zocor®))
CRESTOR® (rosuvastatin) and CRESTOR/ABT-335 combination
Synordia
Lapaquistat (TAK-475)
SLx-4090
AEGR-733
Compound Number 256073 and 501516
LBM642
Dyslipidaemia: Current Pipeline and Late Stage Development
Anti-Thrombotics
Rivaroxaban (BAY59-7939)
Rendix (dabigatran etexilate, BIBR-1048)
Idraparinux
Apixaban
SSR-126517
Exanta/ximelagatran
Anti-Thrombotics: Current Pipeline and Late Stage Development
Anti-Arrhythmics
Stedicor (Azimilide)
Multaq (Dronedarone)
Vernakalalant (RSD 1235)
Tecadenoson CVT510
Pulzium IV (Tedisamil)
Anti-Arrhythmics: Current Pipeline and Late Stage Development
Chapter 7 Appendix
Methodology Statement
Primary Data and Information Gathering
Secondary Data and Information Gathering
Market Share Analysis and Market Forecast Predictions
Glossary
Index
List of Figures
Figure 1.1: Breakdown of Deaths from Cardiovascular Diseases, USA 2002
Figure 1.2: Leading causes of death in developing countries, 2002
Figure 2.3: Use of Percutaneous Coronary Intervention in Europe, 2005
Figure 3.4: Estimated number of Stent Procedures (BMS & DES) % Total Number of PTCA
Procedures
Figure 3.5: Actual and projected revenues from Coronary Stents, Worldwide sales- 2006
Figure 3.6: Market Share Analysis, DES v BMS World, 2006
List of Tables
Table 1.1: Age- and gender-specific incidence of recognised MI
Table 1.2: Age- and gender-specific incidence of unrecognised MI
Table 2.3: Estimated volume of cardiovascular procedures by region (US 2002)
Table 2.4: PCI procedure rates in Selected Countries, 2005
Table 5.5: Selected Early Stage Anti Anginal Drug Developments
Table 5.6: Selected Early Stage Anti Arrhythmiasis Drug Developments
Table 5.7: Selected Early Stage Atherosclerosis Drug Developments
Table 5.8: Selected Early Stage Atrial Fibrillation Drug Developments
Table 5.9: Selected Early Stage Congestive Heart Failure Drug Developments
Table 5.10: Selected Early Stage Hypercholesterolemia Drug Developments
Table 5.11: Selected Early Stage Hypertension Drug Developments
Table 5.12: Selected Early Stage Myocardial Infarction Drug Developments
Table 5.13: Selected Early Stage Thrombosis Drug Developments
Table 6.14: Characteristics of Major Classes of Lipoproteins
Table 6.15: AstraZeneca's Current Anti-Dyslipidaemia Pipeline
Table 6.16: Classification of Anti-Arrhythmics
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Source: Business Wire
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