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Boston Scientific (BSX) investor relations material
Boston Scientific Wolfe Research Healthcare Conference 2025 summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Key growth drivers and clinical trial insights
Watchman and ablation portfolio are central to growth, with double-digit growth expected for Watchman, supported by recent clinical data and expanded indications.
Closure trial failed non-inferiority due to high procedural complications and use of older devices, not due to device efficacy in stroke prevention.
Real-world data and newer devices like Watchman Flex show improved outcomes, suggesting trial results may not reflect current practice.
Low-risk patient trials (OSHN, Alone) support ablation without long-term anticoagulation, but do not impact Watchman’s target population or growth.
Concomitant procedures and improved CMS coverage are driving increased Watchman adoption, with 25% of implants expected to be concomitant by end of 2025.
Market expansion, reimbursement, and regulatory outlook
Champion trial results expected in the first half of 2026, with potential to reinforce confidence and expand indications for Watchman.
Positive Champion results could accelerate market growth, especially internationally, and may prompt label and reimbursement changes in the U.S.
Label update and CMS NCD revision could take up to 19 months post-trial, based on prior experience.
Option trial and expanded indications have added 1–2 million more eligible patients globally, with about half in the U.S.
Ablation technology and competitive landscape
FARAPulse PFA is seeing high adoption, with U.S. penetration expected to exceed 50% in 2025, focused on de novo ablations.
FARAPulse and Watchman growth are mutually reinforcing, with new procedures (FARAWatch) enabled by improved safety and predictability.
Single-digit redo rates at one year for de novo ablations with FARAPulse, shifting the market away from high redo rates.
Opal mapping system offers unique advantages for PFA, including better visualization and economic benefits in ambulatory settings.
Competition in PFA is seen as expanding the market, with FARAPulse focused on the larger de novo segment.
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