| Infusion catheters are used in a
variety of procedures to infuse a drug directly to a
treatment site to allow for direct, highly controllable, and
concentrated treatment, minimizing the toxicity of systemic
administration while increasing the therapeutic efficacy,
yield, and safety.
Creative physicians continue to search for new ways to
treat vascular disease or disease that can be accessed via
the vascular system using infusion catheters. The number of
potential procedures and therefore the market for infusion
catheters is large.
Market estimates vary but generally suggest that varicose
vein disease affects between 75 and 150 million people in
North America and Western Europe, making the market for
varicose vein disease one of the largest markets for any
chronic condition in the developed world.
While the number of people suffering from varicose vein
disease is high, only about 1-2% of sufferers actually
obtain treatment of any kind. This omission is in large part
due to the unsatisfactory characteristics and trauma of
existing treatments, including surgery and laser and
radiofrequency ablation.

Peripheral Vascular Disease (PVD) affects 5% of all people
over 50 years of age. PVD represents a nearly $2 billion
market.
Another example is venous thromboembolism, the third most
common cardiovascular disease after coronary artery disease
and stroke, which has an annual incidence of about 1 per
1000 in the US and is associated with significant morbidity
and mortality. Deep vein thrombosis (DVT) is a
life-threatening event since a clot can detach, travel to
the lung, and occlude a major vessel.
Venous thromboembolism has an annual incidence of 1 per
1000 in the United States. Deep vein thrombosis (DVT) is
responsible for up to 600,000 hospitalizations annually with
as many as 20,000 patients having had a prior DVT. The
majority of patients diagnosed with DVT are treated with
medication therapy alone. While this therapy reduces the
risk of fatal Pulmonary Embolism and further blood clot from
forming, the underlying blood clot may remain and result in
permanent vein damage and the development of Post Thrombotic
Syndrome.
It has been estimated that venous thrombosis is
responsible for between 300,000-600,000 hospitalizations and
up to 100,000 deaths annually and the clinical consequences
of venous thrombosis such as chronic venous insufficiency
with skin ulceration affects up to 500,000 individuals per
year. Estimates suggest that 1 out of every 1,000 Americans
develops DVT each year; 600,000 new cases are diagnosed each
year. One in every 100 people who develops DVT dies.
Catheter-directed treatment of DVT to remove the blockage
is a growing treatment option for the disease.
As a third example, an estimated 290,000 people in the
U.S. require dialysis access and the number is increasing at
a rate of 6% annually. For over 100,000 of patients,
dialysis access is obtained through implanted synthetic
grafts, which typically require declotting more than once
per year, an estimated $37 million annual market in the
United States.
There are 472,000 patients receiving treatment for kidney
failure in the United States (December 31, 2004); 38.6% of
prevalent dialysis patients had an AV fistula; 38.2% AV
grafts. A significant number of these patients required a
procedure to remove a thrombus from a blocked dialysis
access site.
As a fourth example, infusion catheters are used for
targeted renal therapy direct delivery of therapeutic
agents to the kidneys via the renal arteries for
patients at high risk of developing acute kidney failure due
to their inability to process the contrast agents used
during coronary interventional or diagnostic procedures, a
condition known as radiocontrast nephropathy (RCN). Infusion
catheters are used to dissolve/remove a thrombus from a
blocked dialysis access site and for delivering therapeutic
agents through the vessel wall into the perivascular space
and adventitia.
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