Percutaneous Mechanical Circulatory Support Market: Introduction
- Percutaneous mechanical circulatory support devices are based on different types of pumps. These devices generate either continuous or pulsatile blood flow. Every device influences a native ventricular characteristic in a unique format. The device requires adequate preload for optimal usage. An intraaortic balloon pump (IABP) is a catheter attached with a balloon. It elevates the pulsatile blood flow during diastole. The inflation in the blood flow displaces blood volume in the descending aorta, leading to an increase in the mean aortic pressure and expanding coronary perfusion. Advantages of IABPs are relatively low cost and ease of insertion. Percutaneous assist devices provide short-term hemodynamic biventricular support for right and/or left heart failure. Percutaneous mechanical support increases cardiac output. In the 1960s, IABPs were introduced for humans. These are the most used device types in mechanical hemodynamic support in cardiogenic shock. In an IABP, the balloon is initiated with the help of the proximal tip from the femoral artery to the aorta situated before the left subclavian artery. Expansion of the diastolic pressure to increase coronary blood flow leads to the inflation of the balloon, which occurs in diastole. Deflation occurs in systole because of the decrease in afterload, promoting left ventricular blood outflow. Extracorporeal membrane oxygenation (ECMO) was used in 1972. It was able to serve the role of both the lungs and heart. A cannula for drainage is passed through an oxygenator to remove the oxygenated blood and returned to the system’s circulation. The function of an oxygenator is to exchange the gas and oxygenate to remove the carbon dioxide from the blood. A centrifugal pump generates the blood flow by means of a rotating impeller spin. Blood rushes outward at a high flow rate with minimal damage to blood components. Developments in modern percutaneous ventricular assist devices are carried out to provide hemodynamic support in cardiogenic shock. It helps in limiting complications with the usage of the smaller delivery systems. The 12 Fr (French scale) catheter is percutaneously inserted. It contains a distal that can collapse and is covered with the nitinol cannula with an impeller that extends to 24 Fr. For instance, a reitan catheter pump (RCP) is a transcatheter pump involved in the evaluation of cardiogenic shock. Percutaneous mechanical support devices are being used in cardiogenic shock to improve hemodynamics. However, studies have been not yet clear about the mortality benefit. Nevertheless, it is obvious that there are ethical and logistical challenges in performing a large randomized study in cardiogenic shock patients, such as device selection, timing of initial support initiation, appropriate patient selection, and cost effectiveness.
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Key Drivers, Restrains, and Opportunities of Global Percutaneous Mechanical Circulatory Support Market
- Increase in the geriatric population, shortage of heart donors, and rise in prevalence of cardiovascular diseases and heart failures are the major drivers of the global percutaneous mechanical circulatory support market. However, adverse events and complications with implantations of CAD, high cost of products and procedures, and lack of skilled and trained professionals are anticipated to hamper the market during the forecast period.
Global Percutaneous Mechanical Circulatory Support Market: Segmentation
- The global percutaneous mechanical circulatory support market can be segmented based on product, end-user, and region. In terms of product, the global percutaneous mechanical circulatory support market can be classified into VA-extra membrane oxygenation (ECMO), intra-aortic balloon pumps, and short-term ventricular assist devices. The intraaortic balloon pumps segment is expected to account for prominent market share during the forecast period. Usage of IABP is expected to rise in the next few years due to technological developments. Based on end-user, the global percutaneous mechanical circulatory support market can be divided into hospitals, ambulatory surgical centers, and others.
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North America to Capture Major Share of Global Percutaneous Mechanical Circulatory Support Market
- In terms of region, the global percutaneous mechanical circulatory support market can be segmented into North America, Asia Pacific, Europe, Latin America, and Middle East & Africa North America is projected to be a prominent market during the forecast period. The region’s dominance is attributed to the strategic presence of key players in the U.S. and Canada.
- North America is anticipated to account for major share of the global percutaneous mechanical circulatory support market due to high prevalence of chronic diseases among the population. Moreover, well-established health care infrastructure and hub for key industry players are the other drivers of the percutaneous mechanical circulatory support market in the region.
- The percutaneous mechanical circulatory support market in Asia Pacific is expected to grow at a rapid pace during the forecast period owing to rise in health care infrastructure. Moreover, increase in geriatric population and rise in prevalence of chronic diseases are likely to propel the market in the region.
Key Players Operating in Global Percutaneous Mechanical Circulatory Support Market
The global percutaneous mechanical circulatory support market is highly consolidated due to the presence of small number of key players. These players hold major market share in their respective regions. Demand for products to treat chronic diseases has increased in emerging as well as developed markets. Growth strategies adopted by leading players are likely to drive the global percutaneous mechanical circulatory support market.
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Major players operating in the global percutaneous mechanical circulatory support market are listed below:
- Medtronic
- Abbott
- Cardiobridge GmbH Getinge AB
- ABIOMED
- Teleflex Incorporated
- Berlin Heart
- LivaNova PLC
- Eurosets
- Jarvik Heart, Inc.
- Other prominent players
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