Guidewires play a vital role in vascular intervention. They are used to access cross lesions and target vessels to
deliver accurate interventional therapy. There are many options available in the market in the form of different
clinical presentations that require different device attributes. Choice of an appropriate guidewire holds utmost
importance owing to its ability to improve crossing success particularly in total occlusions, limit costs, limit the
risk of vascular injury and improve device delivery.
Determining which device features and attributes are required in different cases needs knowledge of
engineering concepts that form those attributes. In few cases, these wires may be required for crossing and
exchanging so as to gain safer and better device delivery. On the other hand, intraluminal crossing, involves
different methodologies and device attributes as compared to sub-intimal crossing. With proper wire choice
and manipulation, numerous occlusions can be treated interventionally without the need for expensive crossing
tools.
Wire performance is greatly affected by external support catheters, proximity from the treatment site to the
torque site and tortuosity. Improvements in guidewire design and a better understanding of how to use these
wires may lead to an improved procedural success.
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Product Insights
Based on the product type, global guidewires market is segmented as peripheral, coronary, urology and
neurovascular guidewires. Coronary guidewires emerged as the most dominant player in the overall guidewires
market by share in 2013 owing to the presence of large volumes of minimally invasive coronary procedures in
addition to high usage rates. Rising number of initiatives by manufacturers in an attempt to reduce operational
expense besides the governmental impact to strengthen reimbursement policies may result in declining product
price of coronary guidewires market over the forecast period. In 2013, one unit of coronary guidewires was
priced at USD 90.2 the average selling price for one unit of coronary guidewires was USD 90.2 in 2013.
Moreover, in order to enter newer markets and expand into emerging economies, manufacturers have been
continuously putting in efforts to produce goods that are cost effective with limited patient purchasing
capacities. North America is expected to be the most highly priced market over the forecast period and is
anticipated to remain nearly 20% more than the overall average selling prices. In 2013, peripheral guidewires
constituted for the second largest market share owing to the prevalence of peripheral occlusions.