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Pricing and Ordering Information


                                         
Interventionalists' Adoption of Endovascular Techniques

  • Where will endovascular specialists' practices grow the MOST over the next 2 to 3 years?  
    Will it be in coronary interventions?  Peripheral (arterial) interventions?  Or venous interventions?

  • Which peripheral artery will see the most growth in stent usage/application over the next 2 to 3 years?
    The renal artery?  Superficial Femoral?  Carotid?

  • Whose product do interventionalists choose the MOST when stenting the carotids?
    Cordis'?  Boston Scientific's?  Guidant's?  Bard's?  Medtronic's?  Cook's?  Endotex'?

Medtech Insight went to the premier peripheral endovascular conference for physicians to find out the 
answers to these and other provocative questions.  This
Pr3 Physician Survey provides the need-to-know 
answers on various subjects, including carotid stenting, stroke, embolic protection, vascular sealing 
devices, endovascular repair of abdominal aortic aneurysm (AAA), and peripheral endovascular 
therapies.


Research Methods
Over 120 physicians participated in the survey, which was conducted at the 2002 Advanced 
Endovascular Therapies and All That Jazz
conference using audience response technology over a
four-day period.  Sample size varied from question to question and averaged 45 respondents per 
question.  Physicians attending the conference were asked a total of 110 questions (listed below).

SURVEY QUESTIONS

Demographics

1.           Physician specialty

2.           Country

3.            Geographic region of practice in the U.S.

4.            Age

 

General Practices/Projections

5.            Who is performing interventional procedures at your hospital?

6.            How many interventional procedures do you perform per month?

7.           Do you perform peripheral interventions?

8.           Of all the interventional procedures you perform (both peripheral and coronary),
what percent of yours are peripheral?

9.            For your peripheral interventions, which stent platform do you prefer?

10.        Of all your peripheral procedures (both venous and arterial), what percent are for venous indications?

11.        Which ONE of the following peripheral arteries will see the MOST growth in stent usage/application over the next 2 to 3 years?

12.        Where do you think your practice will grow the MOST in the next 2-3 years?

13.        Will your use of stents increase when drug-eluting stents become available?

14.        When drug-coated stents become available for coronary applications, what percent
of your coronary cases do you anticipate will be performed with drug-coated stents?

15.        The FDA should approve stents, balloon and wires by: Vessel?, General location?
or Vascular or non-vascular clinical indications?

16.        Do you see a trend in your practice toward use of smaller wires?  

17.        Do you use the Cutting Balloon?

 

Carotid Stenting/Stroke

18.       What do you think the treatment of choice is for a routine carotid stenosis?

19.        Who is performing CAS at your institution?

20.       How many patients do you see per month who are candidates for carotid stenting?

21.        Do you perform carotid stenting procedures?

22.        How many carotid stenting procedures do you perform per month?

23.        Projected growth in the number of carotid stenting procedures to be performed
in 2004.

24.        What product do you currently use the MOST when stenting the carotids?

25.        FDA approval of stents for carotid indications will affect my off-label use of stents. (Strongly agree/Strongly disagree)

26.        Have you received training in carotid stenting?

27.        Do you plan to perform carotid stenting procedures?

28.        Should carotid stenting be reserved for the more experienced centers only?

29.       Should pre-dilitation be a requirement for carotid stenting?

30.        How important is the characteristics of the plaque as an indication to carotid stenting?

31.       Do you think the Cutting Balloon is applicable in carotids?

32.       Should recurrent carotid in-stent restenosis be treated with additional stenting?

33.        Should indications for brachytherapy be extended to include carotid stenosis?

34.        Should carotid stenting be considered in asymptomatic patients with <70% stenosis?

35.        Based on your personal experience, word of mouth and research to date, how promising is carotid stenting?

36.        In your opinion, what is the MOST important issue remaining to be resolved before carotid stenting/embolic protection will be widely endorsed?

37.        Is intravascular ultrasound available in your institution?

38.       Do you routinely use intravascular ultrasound?

39.        How is stroke managed at your institution?  (Conservatively/Aggressively)

40.        How does your institution prepare for acute stroke?

41.       Do you think that thrombolysis will be useful?

42.        Which thrombolytic drug has the best safety, utility, and efficacy profile?

43.        Over the next two years, do you anticipate the use of thrombolytic therapy for
PVD will…        

44.        Which area do you see as the area where thrombolysis will be most useful?

45.        Do you perform intracranial interventions?

46.        If you do not currently perform intracranial interventions do you plan to in the future?

47.        Is MRA currently available in your practice?

48.        Is FAST CT currently available in your practice?

 

Embolic Protection

49.        Do you think cerebral protection should be used in all CAS cases?

50.        Carotid artery stenting should require embolic protection.  
(Strongly agree/Strongly disagree scale)

51.        Iliac artery interventions should require embolic protection.         
(Strongly agree/Strongly disagree scale)

52.        Renal interventions should require embolic protection.
(Strongly agree/Strongly disagree scale)

53.        Subclavian artery interventions should require embolic protection.
(Strongly agree/Strongly disagree scale)

54.        Which embolic protection device do you prefer?

55.        In your opinion, which type of embolic protection device do you feel is MOST promising?

56.        Is use of an embolic protection device important during basilar artery stenting?

57.        In your opinion, what is the likelihood that embolic protection will one day be ROUTINELY used in conjunction with vertebral stenting?

 

Vascular Sealing Devices

58.        Are you currently using femoral arteriotomy closure devices for interventional cases?

59.        If yes, in what percentage of cases do you use vascular sealing devices post peripheral intervention?

60.       In what percentage of cases do you use vascular sealing devices post-routine cardiac catheterization?

61.        Which of the following factors is MOST important to you when choosing an arteriotomy closure device?

 

Abdominal Aortic Aneurysm

62.        Do you perform AAA repairs using stent-grafts?

63.        Do you have experience with more than one stent-graft design for AAA repair?

64.        Projected growth in the number of endovascular AAA procedures to be performed
in 2004.

65.       If you don't perform or plan to perform AAA repairs, why not?
(Choose the MAIN reason)

66.        Have you received training for AAA repair using stent-grafts?

67.        Which of the following do you most commonly use to diagnose endoleaks? Angiography? CT w/contrast? Sonography?

68.        When should endoluminal grafting be performed?

 

Superficial Femoral Artery Stenting

69.        What is the appropriate therapy for SFA stenosis and occlusion?

70.       If you perform SFA interventions, what percent do you treat with PTA alone?

71.        Do you stent the superficial femoral artery (SFA)?

72.        How many superficial femoral artery stenting procedures did you perform in 2001?

73.        For SFA lesions, what type of stent would you use?

74.        What is your stent of choice for SFA lesions?

75.       Do you think drug-coated stents will become the stent of choice for SFAs?

76.       Projected growth in the number of femoral artery stenting procedures to be performed 
in 2004
.

77.        What is the treatment for a long segment SFA occlusion?

78.       For a suboptimal SFA angioplasty result, what is your next maneuver?

79.        What is the treatment of choice for symptom limiting claudication?

80.       Patients with posterior circulation ischemia require angiographic diagnosis. 
(Agree/Disagree scale)          

81.        Does brachytherapy have a role in SFA stenting?

 

Iliac Artery Stenting

82.        How many iliac artery stenting procedures did you perform in 2001?

83.        What product do you use the MOST when stenting short segments of the iliac arteries?

84.        What product do you use the MOST when stenting LONG segments of the iliac arteries?

85.       Projected growth in the number of iliac artery stenting procedures to be performed
in 2002
.

86.        Have you received training in iliac artery stenting?

87.       Do you think stenting is better than balloon angioplasty for common iliac lesions?

88.        What is your intervention of choice for common iliac lesions?

89.        For aorto-ostial common iliac lesions, what type of stent would you use?

90.        For non-ostial common iliac and external iliac lesions, what type of stent would
you use?

91.        Is provisional stenting warranted in the iliac arteries?

92.        Would you use multiple stents for iliac artery stenting?

93.        What is the ideal treatment for iliac in-stent restenosis?

 

Renal Artery Stenting

94.        How many patients do you see a month with renal artery stenosis who are candidates for intervention?

95.       Should primary angioplasty be the treatment of choice for renal stenosis?

96.        How many renal artery stenting procedures did you perform in 2001?

97.        What product do you use the most when stenting the renal arteries?

98.       What is your overall satisfaction with the stents currently available to treat renal arterial disease?

99.        FDA approval of stents for renal artery indications will affect my off-label use of stents. (Strongly agree/Strongly disagree scale)

100.    Do you prefer RX (rapid exchange) or OTW (over the wire) systems for renal interventions?

101.    Projected growth in the number of renal artery stenting procedures to be performed
in 2002.

102.    Compared to medical therapy, will renal stenting improve clinical outcomes?

103.    Should renal artery stenting be reserved for medical failure?

 

Subclavian/Vertebral Artery Stenting

104.   Have you received training in subclavian artery stenting?

105.  How many subclavian artery stenting procedures did you perform in 2001?

106.   For subclavian lesions, what type of stent would you use?

107.   What product do you use the MOST when stenting the subclavian artery?

108.   Projected growth in the number of subclavian artery stenting procedures to be 
 performed in 2004.

109.   How many vertebral artery stenting procedures did you perform in 2002?

110.   Projected growth in the number of vertebral artery stenting procedures to be performed
 in 2004.

 

© April 2002, Medtech Insight, LLC


Ordering Information


The survey results obtained at the 2002 Advanced Endovascular Therapies and 
All That Jazz
conference are provided in graphic form for each question.  The data may be 
purchased in three different modules as follows:

Physician Survey #

# of Questions Format Price

PS201, Interventionalists' Adoption of Endovascular Techniques:  Complete
Pr3 Physician Survey questions and responses on demographics, general practices/projections, carotid stenting/stroke, embolic protection, vascular sealing devices, abdominal aortic aneurysm, superficial femoral artery stenting, iliac artery stenting, renal artery stenting, and subclavian artery/vertebral artery stenting. 

110

PowerPoint/
CD-ROM

$7,900

PS202, Interventionalists' Adoption of Endovascular Techniques:  Carotid Stenting/Stroke, Embolic Protection, Vascular Closure
Pr3 Physician Survey questions and responses on demographics, general practices/projections, carotid stenting/stroke, embolic protection, and vascular sealing devices.

61

PowerPoint/
CD-ROM

$3,900

PS203, Interventionalists' Adoption of Endovascular Techniques:  AAA, Peripheral Vascular
Pr3 Physician Survey questions and responses on demographics, general practices/projections, abdominal aortic aneurysm, superficial femoral artery stenting, iliac artery stenting, renal artery stenting, and subclavian artery/vertebral artery stenting.

66

PowerPoint/
CD-ROM

$3,900


To purchase the results of this survey or for further inquiries, please contact 
pr3@medtechinsight.com
or call our sales office at (949) 219-0150 or toll 
free in the U.S. at (888) 290-2225.


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