An introducer (100, 200) provides access to a surgical site and includes a proximal housing (130, 230) configured to be positioned outside the patient and a sheath (110, 210) extending from the proximal housing to a distal end of the introducer. One or more handles (230a, 230b) may be housed within the proximal housing and configured to translate axially in proximal/distal directions with respect to the proximal housing. A securing element (250) may be slideably coupled to the sheath and may have a flange (252) extending radially outwardly from the sheath. A radially expanding portion of the sheath (110) may have first and second edges (112, 114), and a middle section (116) extending between the first and second edge. The sheath portion may have a rolled configuration in which the middle section at least partially overlies the first edge, and the second edge at least partially overlies the middle section.
