Myocardial infarction – commonly known as a heart attack – is caused by ruptured atherosclerotic plaques leading to flow-limiting blood clots in coronary arteries. Historically treated through coronary artery bypass graft procedures, they are now commonly treated through percutaneous coronary intervention (PCI). During a typical PCI, an intravascular balloon is dilated inside of the occlusion to restore normal blood flow, following which a stent is placed to keep the vessel open.

While coronary stent manufacturers continue to innovate in the field of traditional metallic stents, the technology had not progressed beyond drug-eluting metallic stents (DESs) for quite some time. There are several problems with DESs, mainly that they remain in the patient’s body for the rest of their lives, providing an embolic risk as well as preventing any more stents from being placed in the same area.

Go deeper with GlobalData

Premium Insights

The gold standard of business intelligence.

Find out more

Related Company Profiles

View all

Absorb: dissolving prospects

Thus, there was considerable excitement when Abbott Laboratories launched the Absorb. Described as a ‘bioresorbable scaffold’, the device was a departure from standard metallic stents in that it dissolves into the body, preventing any chance of re-stenosis or other adverse events from a foreign object remaining in the body.

When originally launched, Abbott heavily marketed this new device as the next step in the world of PCI. Upon release, Abbott pursued an aggressive commercialisation strategy, particularly in Europe and America, in an attempt to gain market share. However, ambiguous or negative clinical results resulted in an extremely low clinical uptake.

The ABSORB II trial showed that patients who had an Absorb device implanted had a significantly higher rate of myocardial infarction post-implantation than patients who were treated with best-in-class DESs. The ABSORB III trial was a further blow, largely confirming the findings of the ABSORB II.

Due to these results, the Absorb seldom achieved more than 1–5% of the total market share, and Abbott ultimately shelved the product in September 2017, just over a year after it secured market approval.

How well do you really know your competitors?

Access the most comprehensive Company Profiles on the market, powered by GlobalData. Save hours of research. Gain competitive edge.

Company Profile – free sample

Thank you!

Your download email will arrive shortly

Not ready to buy yet? Download a free sample

We are confident about the unique quality of our Company Profiles. However, we want you to make the most beneficial decision for your business, so we offer a free sample that you can download by submitting the below form

By GlobalData
Visit our Privacy Policy for more information about our services, how we may use, process and share your personal data, including information of your rights in respect of your personal data and how you can unsubscribe from future marketing communications. Our services are intended for corporate subscribers and you warrant that the email address submitted is your corporate email address.

Synergy soars

At the same time, Boston Scientific’s newest DES stent, the Synergy, secured 40% of the total US market share on the strength of its intra-procedural advantages, including its ease of deployment and trackability, or visibility in the fluoroscopes used by cardiologists to properly position the device in the patient’s vasculature. In fact, over the course of 2016 the Synergy overtook Abbott’s flagship DES, the Xience, previously the market leader in that segment.

These events serve as a cautionary tale: had Abbott focused on more incremental improvements to the Xience instead of gambling on unproven technology, it may have fared considerably better in the coronary stent market.