This report summarizes data from a survey conducted by IMV Medical Information
Division from July 2012 through January 2014, covering the nation's 100+ bed
hospitals that have fixed angiography c-arm equipment in their radiology or
other department that focuses on non-cardiac procedures.
Based on interviews with 583 departments in 568 hospitals, this report
projects the data to IMV's universe of 1,878 U.S. sites, profiling major
trends in interventional angiography utilization, installed equipment and
forecasts through 2017. The report covers national trends in procedure
volumes, features, age and manufacturers of installed equipment, equipment
buying plans, operational budgets and staffing levels.
Purchase of the report includes an Executive Summary in slide format which
highlights the key findings of the research.
Key Features
Angiography Procedures
- What is the trend in the number of procedures performed in angio rooms in
U.S. hospitals with 150+ beds, from 2000 to 2013?
- What is the mix of procedures performed in angio labs?
- What is the average volume by hospital bed size range?
- How has the mix of diagnostic vs. therapeutic non-coronary angiography
procedures shifted?
Angio X-ray System Installed Base and Purchase Plans
- How many angio units are installed, by hospital bed size ranges?
- What is the installed base market share, by vendor?
- What is the age of the installed base of fixed c-arms?
- What is the brand loyalty of angio lab users?
- What are the "optimistic" and "pessimistic" market forecasts through 2017?
Site Operations Characteristics
- Has the waiting time for scheduled procedures shifted?
- How many angio procedures were performed per FTE technologist? Per angio
unit? Per site?
Table of Contents
I. Objectives.
II. Executive Summary
III. Methodology
IV. Findings
- A. Procedure Volume
- B. Angiography X-ray System Installed Base
- C. Angiography X-ray System Purchase Plans & IMV Market Forecast Scenarios
- D. Angiography Lab Operations Characteristics
EXHIBITS
A. Procedure Volume
- 1. Distribution of Angio Sites and Procedures, by Hospital Bed Size, 2013
- 2. Trend in Total Angiography Lab Procedure Volume, for Hospitals with
150+ Beds, 2000-2013
- 3. Trend in Mix of Total Angiography Lab Procedure Volume and Cardiac Cath
Lab Case Volume, 2000-2012
- 4. Distribution of Angio Lab Sites, by Angio Procedure Ranges, by Hospital
Bed Size, 2013
- 5. Average Annual Angiography Lab Procedures per Site, by Hospital Bed
Size, 2013
- 6. Average Annual Angiography Lab Procedures per Site, for Hospitals with
150+ Beds, by Hospital Bed Size, 2000-2013
- 7. Total Angio Sites and Average Annual Procedures per Site, for Hospitals
with 150+ Beds, 2000-2013
- 8. Percent of Angio Sites Performing Specified Procedures, by Procedure
Type, by Hospital Bed Size, 2013
- 9. Trend in Percent of Angio Sites Performing Specified Procedures, by
Procedure Type, for Hospitals with 150+ Beds, 2008-2013
- 10. Distribution of Angiography Lab Procedure Volume, by Procedure Type,
2013
- 11. Distribution of Angiography Lab Procedure Volume, by Procedure Type,
by Hospital Bed Size, 2013
- 12. Number of Angio Sites Performing Specified Procedures and Mean Annual
Procedures per Site Performing, 2013
- 13. Distribution of Angiography Lab Procedure Volume, for Hospitals with
150+ Beds, by Procedure Type, 2000-2013
- 14. Diagnostic vs. Therapeutic Non-Coronary Angiography Procedure Mix, for
Hospitals with 150+ Beds, 2000-2013
- 15. Distribution of Diagnostic vs. Therapeutic Non-Coronary Angiography
Procedure Volume, by Hospital Bed Size, 2013
- 16. Percent of Sites Performing Diagnostic and Therapeutic Non-Coronary
Angiography Procedures, by Hospital Bed Size, 2013
- 17. Number of Sites Performing Diagnostic vs. Therapeutic Non-Coronary
Angiography Procedures and Mean Annual Procedures per Site Performing, 2013
- 18. Mean Annual Diagnostic vs. Therapeutic Non-Coronary Angiography
Procedures per Site, for Hospitals with 150+ Beds, 2000-2013
B. Angiography X-ray System Installed Base
- 1. Distribution of Angiography Sites and Angio Systems, as of 2013/14 Study
- 2. Distribution of Angiography Sites and Angio Systems, for Hospitals with
150+ Beds, by IMV Study Year, 2002 to 2013/14
- 3. Distribution of Sites, by Number of Angiography Systems, by Hospital
Bed Size, as of 2013/14 Study
- 4. Percent Distribution of Angiography X-ray System Installed Base, by
Manufacturer, as of 2013/14 Study
- 5. Distribution of Angiography X-ray System Installed Base, for Hospitals
with 150+ Beds, by IMV Study Year, 2002 to 2013/14
- 6. Angiography X-ray System Installed Base Share, for Hospitals with 150+
Beds, by IMV Study Year, 2002 to 2013/14
- 7. Angiography X-ray System Installed Base Share, by Hospital Bed Size, as
of 2013/14 Study
- 8. Sites Having at Least One Angiography X-ray System, by Manufacturer, as
of 2013/14 Study
- 9. Angiography X-ray System Installed Base, by Year of Installation, as of
2013/14 Study
- 10. Distribution of Angiography X-ray Systems, by Year of Installation, by
Hospital Bed Size, as of 2013/14 Study
- 11. Angiography X-ray System Installed Base Market Share, by Year of
Installation, from 2008 to 2013, as of 2013/14 Study
- 12. Angiography X-ray System Installed Base Market Share, by Installation
Timeframes, as of 2013/14 Study
- 13. Mix of Single- vs. Bi-Plane Systems, by Hospital Bed Size, as of
2013/14 Study
- 14. Trend in Mix of Installed Single- vs. Bi-Plane Angiography X-ray
Systems, for Hospitals with 150+ Beds, by IMV Study Year, 2002 to 2013/14
- 15. Single- vs. Bi-Plane System Mix, by Year of Installation, from 2003 to
2013, as of 2013/14 Study
- 16. Angiography X-ray System Installed Base Market Share, by Single- vs.
Bi-Plane Systems, as of 2013/14 Study
- 17. Distribution of Single- vs. Bi-plane Installed Base, by Manufacturer,
as of 2013/14 Study
C. Angiography X-ray System Purchase Plans & IMV Market Forecast Scenarios 1. Angio Site Plans for Purchasing Angiography X-ray Systems, from 2013 to 2016+, as of 2013/14 Study
- 2. Percent of Angio Sites Planning to Purchase Angio X-ray Systems Over
the “Next Three Years,” for Hospitals with 150+ Beds, by IMV Study
Year, 2002 to 2013/14
- 3. Percent of Angio Sites Planning to Purchase Angio X-ray Systems Over
the “Next Three Years,” by Hospital Bed Size, as of 2013/14 Study
- 4. Plans for Purchasing Replacement vs. Additional Angiography X-ray
Systems Over the “Next Three Years,” by Hospital Bed Size, as of
2013/14 Study
- 5. Plans for Purchasing Replacement vs. Additional Angiography X-ray
Systems Over the “Next Three Years,” for Hospitals with 150+ Beds,
by IMV Study Year, 2002 to 2013/14
- 6. Types of Clinical Applications Planned for Future Angiography X-ray
Systems, as of 2013/14 Study
- 7. Plans for Using Future Angiography X-ray Systems for Interventional
Radiology Procedures, by Hospital Bed Size, as of 2013/14 Study
- 8. Plans for Using Future Angiography X-ray Systems for Neuro Procedures,
by Hospital Bed Size, as of 2013/14 Study
- 9. Plans for Using Future Angiography X-ray Systems for Neuro Procedures,
for Hospitals with 150+ Beds, by Hospital Bed Size, 2012 to 2013/14
- 10. Plans for Using Future Angiography X-ray Systems for Cardiothoracic or
Vascular Surgery, by Hospital Bed Size, as of 2013/14 Study
- 11. Plans for Using Future Angiography X-ray Systems for Cardiac/Coronary
Procedures, by Hospital Bed Size, as of 2013/14 Study
- 12. Plans for Purchasing Single- vs. Bi-Plane Systems, by Hospital Bed
Size, as of 2013/14 Study
- 13. Percent Distribution of Sites Mentioning Manufacturers Considered for
Next Angiography X-ray System Purchase, as of 2013/14 Study
- 14. Percent Distribution of Sites Mentioning Manufacturers Considered for
Next Angiography X-ray System Purchase, by Hospital Bed Size, as of 2013/14
Study
- 15. Percent Distribution of Sites Mentioning Manufacturers Considered for
Next Angiography X-ray System Purchase, by IMV Study Year, 2002 to 2013/14
- 16. Brand Loyalty: Angiography X-ray System Vendor Being Considered, by
Current Installed Base, as of 2013/14 IMV Study
- 17. Angio Lab Replacement Cycle, Based on IMV 2013/14 Interventional
Angiography Census
- 18. Average Age of Interventional Angiography Units Upon Replacement, by
IMV Study Year, 2000/01 to 2013/14
- 19. Estimated Raw Angiography Lab Replacement Unit Demand from Angio
Installed Base, 2013-2017, Based on Angio Replacement Cycle
- 20. Scenario I: “Raw Angio Lab Replacement and Additional Unit
Demand,” Estimated Angio Unit Market Projections, 2013-2017
- 21. Scenario II: “Reduced Purchase Intent for Replacement and
Additional Angio Units,” Estimated Angio Unit Market Projections,
2013-2017
- 22. Scenario III: “Moderated Purchase Intent for Additional Angio
Units,” Estimated Angio Unit Market Projections, 2013-2017
D. Angiography Lab Operations Characteristics
- 1. Department Operating Angiography Lab, by Hospital Bed Size, as of
2013/14 Study
- 2. Whether Other Departments in the Facility Perform Non-Coronary Angio
Procedures, by Hospital Bed Size, as of 2013/14 Study
- 3. Percent Distribution of Other Departments in the Facility that Perform
Non-Coronary Angio Procedures, as of 2013/14 Study
- 4. Whether Institution also Operates a Separate Cath Lab, by Hospital Bed
Size, as of 2013/14 Study
- 5. Whether Angio Lab Sites Perform Angio and Cath Procedures in the Same
Room, by Hospital Bed Size, as of 2013/14 Study
- 6. Average Angio Lab Procedures per Angio X-ray System, by Hospital Bed
Size, as of 2013/14 Study
- 7. Average Angio Lab Procedures per Angio X-ray System, for Hospitals with
150+ Beds, by Hospital Bed Size, by IMV Study Year, 2002 to 2013/14
- 8. Percent of Angiography Sites Having Full-Time or Part-Time Radiologic
Technologists and Nurses, by Hospital Bed Size, as of 2013/14 Study
- 9. Trend in Percent of Angiography Sites Having Radiologic Technologists
or Nurses, for Hospitals with 150+ Beds, by IMV Study Year, 2002 to 2013/14
- 10. Mean Number of Radiologic Technologists and Nurses per Angiography
Site Having That Type, by Hospital Bed Size, as of 2013/14 Study
- 11. Average 2013 Angio Procedures per Technologist FTE, by Hospital Bed
Size, as of 2013/14 Study
- 12. Average 2013 Angio Procedures per Nurse FTE, by Hospital Bed Size, as
of 2013/14 Study
- 13. Average Number of Full-Time Radiologic Technologist and Nurse
Personnel per Angio Room, as of 2013/14 Study
- 14. Waiting Time for Non-Emergency Outpatient Angiography Lab Procedures,
as of 2013/14 Study
- 15. Waiting Time for Non-Emergency Outpatient Angiography Lab Procedures,
for Hospitals with 150+ Beds, by IMV Study Year, 2002 to 2013/14
- 16. 2013 Angiography Lab Procedures per Thousand Population, by State