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

Part of: Interventional Cardiology

Published online by Cambridge University Press:  20 August 2021

Raymond N. Haddad Open the ORCID record for Raymond N. Haddad [Opens in a new window] ,
Enrico Piccinelli ,
Zakhia Saliba Open the ORCID record for Zakhia Saliba [Opens in a new window]  and
Alain Fraisse
Raymond N. Haddad*
Affiliation:
Department of Pediatric Cardiology, Hotel Dieu de France University Medical Center, Saint Joseph University, Beirut, Lebanon
Enrico Piccinelli
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, UK
Zakhia Saliba
Affiliation:
Department of Pediatric Cardiology, Hotel Dieu de France University Medical Center, Saint Joseph University, Beirut, Lebanon
Alain Fraisse
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, London, UK
*
Author for correspondence: Dr. Raymond N. Haddad, MD, Department of Pediatric Cardiology, Hotel Dieu de France University Medical Center, Saint Joseph University, Alfred Naccache Boulevard, Achrafieh, Beirut, BP 166830, Lebanon. Tel: +961 70 605 800; Fax: +961 1 604 976. E-mail: raymondhaddad@live.com
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Abstract

Many interventionists are infatuated by the recent resurgence of the coilwire design with the Super Arrow-Flex® sheath (Teleflex, Inc., NC, United States of America). This exclusive sheath is a highly flexible, durable, conduit intended for use in diagnostic and interventional procedures with several advantages and maximum effectiveness in challenging cases. We report failure to easily advance memory shape occluders through Super Arrow-Flex® sheaths larger than the recommended implant French size. We detail the technical reasons behind this non-previously reported drawback and describe benchside tests as possible solutions.

Keywords

Congenital heart diseasecardiac catheterisationdevice closureSuper Arrow-Flex® sheathcoilwire design
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 3 , March 2022 , pp. 482 - 483
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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