A guide catheter employs a retractable inner sheath movably disposed
within an open lumen of an outer sheath. The inner sheath includes a
pre-formed distal end and an open lumen adapted to receive a payload. The
inner sheath is translatable and rotatable relative to the outer sheath.
The inner sheath conforms to the outer sheath shape until it is distally
extended beyond the outer sheath. The outer sheath contains a steering
tendon that can be used to adjustably deflect the outer sheath. The guide
catheter further includes a proximally attached guide handle. A steering
handle can be pivotably connected to the guide handle. The steering
handle is connected to the steering tendon and can apply a tensile force
to the steering tendon for adjustably deflecting the outer sheath. A
catheter according to the present invention provides an improved system
for locating and cannulating cardiac venous structures, particularly the
coronary sinus via the right atrium.