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市場調査レポート
商品コード
1634205
神経血管デバイスの世界市場 - 2025年~2033年Global Neurovascular Devices Market - 2025 - 2033 |
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カスタマイズ可能
適宜更新あり
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神経血管デバイスの世界市場 - 2025年~2033年 |
出版日: 2025年01月13日
発行: DataM Intelligence
ページ情報: 英文 176 Pages
納期: 即日から翌営業日
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神経血管デバイスの世界市場は、2023年に38億米ドルに達し、2033年には84億米ドルに達し、予測期間2025年~2033年にはCAGR 9.4%で成長すると予測されています。
神経血管デバイスは、脳や脊髄の血管に影響を及ぼす状態を治療するために設計された特殊な医療機器です。これらの器具は、主にインターベンショナル放射線学、神経学、神経外科学の一分野であるニューロインターベンションに関連する処置で使用され、様々な神経血管疾患の診断と治療のための低侵襲技術に焦点を当てています。
神経血管デバイスの主な目的は、低侵襲技術を用いて血流を回復させ、異常な血管を遮断または除去し、脳卒中、脳出血、動脈瘤などの生命を脅かす疾患を予防または治療することです。これらの機器は、回復時間や合併症を減らし、従来の開腹手術の必要性を減らすことで、患者の予後を改善することを目指しています。
神経血管デバイス市場は、神経血管障害の有病率の増加と神経血管デバイスの技術進歩により、大きな成長を遂げています。脳卒中、脳動脈瘤、動静脈奇形などの疾患は一般的になりつつあり、神経血管デバイスの需要を高めています。
例えば、世界脳卒中機構によると、毎年760万人以上の虚血性脳卒中が新たに発生しています。世界全体では、脳卒中発症の62%以上が虚血性脳卒中です。毎年、虚血性脳卒中全体の11%以上が15~49歳で発症しています。毎年、虚血性脳卒中全体の58%以上が70歳未満で発症しています。
さらに、2024年5月、ペナンブラ社は、急性虚血性脳卒中治療用の神経血管再灌流カテーテルRed 43、SendItテクノロジー搭載のRed 72、Red 78の3機種がCEマークを取得し、欧州で発売されることを発表しました。Penumbra社によると、これらのカテーテルは科学的根拠に基づく吸引血栓除去術(S-BAT)を最適化したもので、追跡可能性と吸引の最新技術により、広範囲の大血管閉塞に対応できるように設計されています。
促進要因と抑制要因
神経血管デバイスにおける技術進歩の高まり
神経血管デバイスの技術的進歩の高まりは、神経血管デバイス市場の成長を大きく後押ししており、予測期間中も市場を牽引していくと思われます。フローダイバータ、ステントリトリーバ、塞栓コイルなどの新しい神経血管デバイスは、侵襲性が低く、患者の回復時間や合併症を減らすように設計されています。例えば、2024年8月、グラビティ・メディカル・テクノロジー社は、次世代脳卒中治療デバイスであるニュートロン吸引カテーテルとSupernovaステントリトリーバーを発売しました。早期導入により、世界中で60人以上の患者の治療が成功しています。
このデバイスは、直径2~4.5mmの親血管から発生する頸部幅4mm以上またはドームと頸部の比が2以下の広頸部頭蓋内動脈瘤を治療するために、成人の神経血管塞栓用コイルとの併用に適応されます。
装置は現在、強化された2Dおよび3D画像技術と統合され、手技をガイドするためのリアルタイムの視覚化を提供します。この技術は、脳神経外科医がより正確にデバイスを配置し、より安全で効果的な治療を行うのに役立ちます。
例えば、ロイヤル・フィリップスは2024年2月、新しいAzurion neuro biplaneシステムの発売により、画像誘導治療システムAzurionの大幅な機能強化を発表しました。生産性を向上させ、医療チームがより迅速に適切な判断を下し、より多くの患者を治療し、より良い治療成績を達成できるように設計されたこの新しいインターベンションシステムは、2Dおよび3DイメージングとX線検出器の位置決めの柔軟性が強化されています。この新しい画像誘導治療システムは、脳卒中やその他の神経血管疾患患者の診断、画像誘導、治療評価を確実に行うための完全なインターベンショナル・ソリューションです。
代替治療の可能性
代替治療オプションの有無は、神経血管デバイス市場の成長を阻害する重要な要因の一つです。デバイスを用いた治療にはいくつかの代替手段が存在し、多くの場合、費用対効果、患者の嗜好、治療の低侵襲性などの要因により、これらの代替手段が好まれています。
虚血性脳卒中や脳動脈瘤のような神経血管障害の多くは、インターベンション機器ではなく薬物療法で治療できます。抗血小板薬(アスピリンなど)や抗凝固薬(ワルファリン、リバーロキサバンなど)のような薬理学的治療は、血栓形成を予防し、脳卒中や動脈瘤破裂のリスクを軽減することができます。例えば、急性虚血性脳卒中に対する血栓溶解薬(例えば、組織プラスミノーゲン活性化薬、tPA)の使用は、血栓除去術やその他の器具を用いた介入の必要性を減らすことができるため、神経血管デバイスの需要を制限することができます。
状況によっては、特に複雑で大きな動脈瘤や動静脈奇形(AVM)に対しては、従来の開腹手術が望ましい選択肢であり続けています。低侵襲手術に比べれば一般的ではないが、開腹手術はより確立された信頼性の高い選択肢です。例えば、大きな脳動脈瘤や治療が困難な脳動脈瘤の患者には、塞栓術や流路転換術よりもクリッピング手術が推奨されることがあり、神経血管デバイスの市場シェアを低下させる可能性があります。
脳腫瘍、動静脈奇形、その他の血管病変の治療には、定位放射線手術やレーザーアブレーションなどの代替治療が好まれることがあります。これらの方法は、従来の神経血管手術よりもリスクが少なく、侵襲性も低いです。例えば、ガンマナイフによる放射線手術は、AVMに対する塞栓術や外科的切除術の代替として、特に小さな病変に対して頻繁に用いられています。
The global neurovascular devices market reached US$ 3.8 billion in 2023 and is expected to reach US$ 8.4 billion by 2033, growing at a CAGR of 9.4% during the forecast period 2025-2033.
Neurovascular devices are specialized medical instruments designed to treat conditions affecting the blood vessels of the brain and spinal cord. These devices are primarily used in procedures related to neurointervention, a branch of interventional radiology, neurology and neurosurgery, which focuses on minimally invasive techniques for diagnosing and treating various neurovascular diseases.
The main purpose of neurovascular devices is to restore blood flow, block or remove abnormal blood vessels, and prevent or treat life-threatening conditions like strokes, brain hemorrhages and aneurysms, using minimally invasive techniques. These devices aim to improve patient outcomes by reducing recovery time, complications, and the need for traditional open surgeries.
The neurovascular devices market is experiencing significant growth, driven by the increasing prevalence of neurovascular disorders and technological advancements in neurovascular devices. Conditions such as stroke, cerebral aneurysms, and arteriovenous malformations are becoming more common, increasing the demand for neurovascular devices.
For instance, according to the World Stroke Organization, there are over 7.6 million new ischaemic strokes each year. Globally, over 62% of all incident strokes are ischaemic strokes. Each year, over 11% of all ischaemic strokes occur in people 15-49 years of age. Each year, over 58% of all ischaemic strokes occur in people under 70 years of age.
Additionally, in May 2024, Penumbra, Inc. announced the CE Mark approval and the launch in Europe of three of its neurovascular reperfusion catheters Red 43, Red 72 with SendIt technology, and Red 78 for the treatment of acute ischemic stroke. According to Penumbra, the devices optimize science-based aspiration thrombectomy, or S-BAT, and are engineered with the latest technology in trackability and aspiration to address a wide range of large vessel occlusions.
Market Dynamics: Drivers & Restraints
Rising technological advancements in neurovascular devices
The rising technological advancements in neurovascular devices are significantly driving the growth of the neurovascular devices market and are expected to drive the market over the forecast period. Newer neurovascular devices, such as flow diverters, stent retrievers and embolic coils, are designed to be less invasive, reducing recovery times and complications for patients. For instance, in August 2024, Gravity Medical Technology launched its next-generation stroke treatment devices: the Neutron aspiration catheter and the Supernova stent retriever. Early adoption has demonstrated the successful treatment of more than 60 patients worldwide.
Additionally, in June 2024, Terumo subsidiary MicroVention launched its LVIS EVO intraluminal support device to treat wide neck intracranial aneurysms in the U.S. The device is indicated for usage with neurovascular embolization coils in adults to treat saccular intracranial aneurysms with a neck width of 4 mm or greater or a dome-to-neck ratio of less than two that arise from a parent vessel with a diameter between 2 and 4.5 mm.
Devices now integrate with enhanced 2D and 3D imaging technologies, providing real-time visualization to guide procedures. This technology helps neurosurgeons place devices more precisely, ensuring safer and more effective treatments.
For instance, in February 2024, Royal Philips announced major enhancements to its Image Guided Therapy System, Azurion, with the launch of its new Azurion neuro biplane system. Designed to improve productivity and help care teams make the right decisions faster, treat more patients, and achieve better outcomes, the new interventional system features enhanced 2D and 3D imaging and X-ray detector positioning flexibility. The new image-guided therapy system is a complete interventional solution for confident diagnosis, image guidance, and therapy assessment of patients with stroke or other neurovascular diseases
Availability of alternatives
The availability of alternative treatment options is one of the key factors that can hamper the growth of the neurovascular devices market. Several alternatives to device-based interventions exist, and in many cases, these alternatives are preferred due to factors such as cost-effectiveness, patient preference and the less invasive nature of the treatments.
Many neurovascular disorders, such as ischemic stroke or cerebral aneurysms, can be treated using medications rather than interventional devices. Pharmacological treatments like antiplatelet drugs (e.g., aspirin) and anticoagulants (e.g., warfarin, rivaroxaban) can prevent clot formation and reduce the risk of stroke or aneurysm rupture. For instance, the use of thrombolytics (e.g., tissue plasminogen activator, tPA) for acute ischemic stroke can often reduce the need for thrombectomy or other device-based interventions, thus limiting demand for neurovascular devices.
In some situations, traditional open surgery remains the preferred option, especially for complex or large aneurysms and arteriovenous malformations (AVMs). Although less commonly used than minimally invasive methods, open surgery can be seen as a more established and reliable option. For instance, for patients with large or difficult-to-treat brain aneurysms, clipping surgery may be recommended over embolization or flow diversion, which can reduce the market share of neurovascular devices.
Alternatives like stereotactic radiosurgery or laser ablation are sometimes preferred for treating brain tumors, arteriovenous malformations, and other vascular lesions. These methods can offer less risk and are less invasive than traditional neurovascular procedures. For instance, Gamma Knife radiosurgery is frequently used as an alternative to embolization or surgical resection for AVMs, particularly for small lesions.
The global neurovascular devices market is segmented based on product type, application, end-user and region.
The cerebral angioplasty and stenting systems segment is expected to dominate the neurovascular devices market share
Over the years, technological advancements in angioplasty and stenting systems have improved treatment efficacy, safety and patient outcomes. The development of self-expanding stents, drug-eluting stents and balloon angioplasty systems has enhanced the precision and success rates of neurovascular procedures.
For instance, in June 2023, Fluid Biomed Inc. announced the World's first implantation of a polymer-based neurovascular stent in human patients, REDIRECT, its first-in-human clinical trial. Phase 1 of this technical feasibility and safety study has begun with successful device implantation without adverse effects in human subjects at the pre-determined 30-day time point and recruitment is ongoing.
Cerebral angioplasty and stenting are minimally invasive procedures, which are preferred by both patients and physicians because they involve smaller incisions, reduced recovery times, and fewer complications compared to traditional open surgeries. For instance, Angioplasty with stenting for carotid artery disease is performed through a small incision in the groin, making it a less traumatic alternative to surgery. This less invasive nature drives higher adoption of stenting systems in treating neurovascular diseases.
Endovascular treatments, such as cerebral angioplasty and stenting, are increasingly becoming the first line of treatment for neurovascular disorders due to their effectiveness and reduced risks compared to open surgery. This shift in preference is contributing to the dominance of the segment.
North America is expected to hold a significant position in the neurovascular devices market share
North America especially the United States, is a hub for innovation in medical devices, with leading companies such as Medtronic, Stryker Corporation, Terumo Corporation and other leading players developing new and improved neurovascular devices. This includes the development of stent retrievers, flow diverters and clot removal devices that are highly effective in treating stroke and aneurysms.
For instance, in February 2024, CERENOVUS, Inc., part of Johnson & Johnson MedTech, launched CEREGLIDE 71 Intermediate Catheter, a next-generation intermediate catheter with TruCourse indicated for the revascularization of patients suffering from acute ischemic stroke. CEREGLIDE 71 Intermediate Catheter is the latest innovation in a planned CEREGLIDE Family of Catheters to join the CERENOVUS STROKE SOLUTIONS portfolio and is optimized for effective direct aspiration and for the delivery of compatible stent retrievers, including the EMBOTRAP III Revascularization Device, into the neurovasculature.
Asia-Pacific is growing at the fastest pace in the neurovascular devices market
The Asia Pacific region has a growing incidence of stroke, aneurysms, and carotid artery diseases due to lifestyle factors, rising levels of hypertension, smoking, and diabetes, which are risk factors for neurovascular conditions. For instance, the World Health Organization (WHO) reports that Asia, particularly China and India, has a high incidence of ischemic stroke, with nearly 70% of all strokes occurring in low- and middle-income countries in Asia. This significantly boosts the demand for neurovascular devices such as stents, coils, and thrombectomy systems.
There is an increasing awareness of minimally invasive neurovascular procedures such as stenting, angioplasty, and thrombectomy in the Asia Pacific region. As healthcare professionals and patients become more informed about the benefits of these procedures, the demand for neurovascular devices increases. For instance, the use of thrombectomy systems like the Solitaire FR Stent Retriever is growing in countries like India and China as part of the initiative to improve stroke treatment outcomes.
The major global players in the neurovascular devices market include Medtronic plc, Stryker Corporation, Terumo Corporation, MicroPort Scientific Corporation, Johnson & Johnson, Penumbra, Inc., ASAHI INTECC USA, INC., Acandis GmbH, Rapid Medical, NeuroVasc Technologies, Inc. and among others.
The global neurovascular devices market report delivers a detailed analysis with 62 key tables, more than 57 visually impactful figures, and 179 pages of expert insights, providing a complete view of the market landscape.
Target Audience 2024
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