Steerable sheaths have been shown to reduce procedure time in the catheter ablation of atrial fibrillation (AF),
where catheter positioning and stability is typically challenging. This review critically addresses and highlights the recent
developments in design of sheaths used to manipulate the ablation catheter and how these developments may impact on
the ablation procedure itself, in particular the likelihood of first-time success. Patents relating to steerable sheaths are reviewed
and discussed to gauge potential future developments in this area.
Keywords: Atrial fibrillation, catheter ablation, clinical trials, left atrial circumferential ablation radiofrequency ablation,
sheath technology, steerable sheaths.
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