An introducer sheath assembly 100 having a handle portion 110 including a front end and a rear end, and a introducer sheath 130 extending outwardly from the front end of the handle portion, the introducer sheath including a device lumen 140 configured to slidably receive a corresponding device, a guidewire lumen 142 configured to slidably receive a corresponding guidewire, a first steering cable lumen 146, a second steering cable lumen 148, a first steering cable 154 disposed in the first steering cable lumen and a second steering cable 156 disposed in the second steering cable lumen, wherein the first steering cable lumen, the second steering cable lumen and the guidewire lumen are disposed radially outwardly from the device lumen.