Transaxillary Intra-Aortic Balloon Pump Deployment Through a Novel Braided Sheath for Advanced Heart Failure Patients Requiring an Extended Duration of Temporary Circulatory Support

Off-label use limitation of the Super Arrow-Flex® sheath introducer in congenital heart disease interventions

“…The Super Arrow-Flex® sheath was also reported to provide the necessary access site security and durability for long-term transaxillary intra-aortic balloon pump in advanced heart failure patients requiring an extended duration of temporary circulatory support. 2 Despite the aforementioned advantages, we experienced an important drawback that needs to be reported to the interventional cardiologist's community: failure to advance memory shape occluders even when French size was larger than the required implant sheath. Indeed, during recent transjugular atrial septal defect closures.…”