摘要Minimally invasive interventional surgery techniques using guidewire-based catheters are widely adopted to treat vascular diseases.However,commonly used interventional catheters lack active guidance.The use of guidewires is associated with risks,including increased exposure to X-rays and potential vascular damage during withdrawal from complex vessels.Herein,we developed sub-millimeter microtubular ionic actuators(0.6-0.8 mm outer diameter)integrated into steerable inter-ventional catheters.These actuators can generate large deformations(>10 mm)under 7 V direct current due to enhanced ion migration,enabling precise navigation without the need for guidewires.The designed catheters achieved active bending and accurate positioning in complex arterial vascular branches within a human model.They were also able to navigate within dif-ferent arterial locations(e.g.,the innominate,subclavian,and carotid arteries)in pigs without the use of guidewires,and even access the ventricle and deliver contrast medium,indicating their great potential for future endovascular therapy.