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German Left Atrial Appendage Device Market to Challenge Novel Anticoagulants

March 8, 2012 By AxoGen, Inc.

TORONTO–(BUSINESS
WIRE
)–According to Millennium Research Group (MRG), the global authority
on medical technology market intelligence, procedures for Left Atrial Appendage
(LAA) devices, intended to minimize stroke risk in patients with atrial
fibrillation, have grown by over 200 percent in Germany since 2010. This
procedure will compete for market share against the new generation of
anticoagulants, which provide an alternative method of decreasing stroke risk.

Stroke is a common consequence of atrial fibrillation, and
approximately 15 percent of all strokes are caused by atrial fibrillation, and
as many as one third of strokes occurring in individuals aged 65 or older. The
standard preventive treatment has long been anticoagulants, typically warfarin,
in clinical use since the 1950s. Warfarin has a number of drawbacks, including
excessive bleeding, dosage difficulties and frequent interactions with food and
other drugs.

Nearly 90 percent of stroke-causing thrombi in atrial
fibrillation form in a part of the heart called the left atrial appendage
(LAA). Devices that close off the LAA have proved effective in minimizing
stroke risk. These devices fall into two main categories: endocardial and
epicardial, generally referred to as “occlusion” and “exclusion,” respectively.
Endocardial devices have continuously proved to be significantly more popular
than the epicardial alternatives.

LAA procedures are relatively new, and have been growing
strongly in Germany.
More than 30 percent of the physicians performing LAA procedures started to
perform them only within the past year. These procedures will be competing
against the next generation of oral anticoagulants with clinical profiles
significantly superior to warfarins. According to a recent report from
Decision Resources, these drugs include apixaban (Bristol-Myers Squibb/Pfizers
Eliquis), dabigatran etexilate (Boehringer Ingelheims Pradaxa) and rivaroxaban
(Bayer/Janssens Xarelto). Worldwide, these novel anticoagulants are expected
to capture 72 percent of the atrial fibrillation drug market in 2020.

Despite improvement in anticoagulants, LAA devices are
expected to continue to increase their share in this market. Decision Resources
projects the number of diagnosed prevalent cases of atrial fibrillation in Germany to
reach 1,716,000 in 2012 and continue to grow at a rate of 1.6 percent annually.
The adoption of LAA devices in this market will continue to grow, since the
implantation of an LAA device, whether endocardial or epicardial, is a one-time
procedure, while drug therapy must be ongoing. MRGs Marketrack captures
pricing information for all types of LAA devices in Germany, and permits competitors to
accurately assess possibilities for future growth.

These results can be found in MRGs German Left Atrial
Appendage Marketrack. This study tracks LAA procedures performed, devices used,
cost per unit and cost per procedure and market shares in Germany on a
quarterly basis.

About Millennium Research Group

Millennium Research Group (www.MRG.net), a Decision Resources, Inc. company (www.DecisionResourcesInc.com), is the global authority on
medical technology market intelligence and the leading provider of strategic
information to the healthcare sector. The company provides specialized industry
expertise through multiclient market research, ongoing Marketrack™ projects,
customer loyalty tracking, facility-level procedure forecasting, and customized
solutions.

About Decision Resources, Inc.

Decision Resources, Inc. is a cohesive portfolio of companies that offers
best-in-class, high-value information, and insights on important sectors of the
healthcare industry. Clients rely on this analysis and data to make informed
decisions. Please visit Decision Resources, Inc. at www.DecisionResourcesInc.com.

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