The present disclosure directs a
catheter extension / pre-dilation
system including an outer delivery sheath, an inner member extending within the sheath, and a mechanism for engaging and disengaging the inner member to the sheath. The inner member is configured with a tapered distal tip having a delivery microcatheter and a pre-dilation
balloon member attached to the tapered distal tip near the microcatheter. The outer delivery sheath and the inner member are retrofitted for different engagement / disengagement mechanisms. The delivery microcatheter provides improved crossability for the
balloon member to the treatment site in a non-invasive, quick and convenient manner. During a cardiac procedure, a guidewire and a
guide catheter are advanced to the vicinity of the treatment site within a
blood vessel. Subsequently, the inner member and the outer delivery sheath are advanced along the guidewire within the
guide catheter to the treatment site in their engaged configuration. Once at the treatment site, the
balloon member is inflated for pre-dilation treatment. Subsequently, the inner member is disengaged from the outer delivery sheath and retracted from the outer delivery sheath, and a
stent is delivered to the treatment site within the outer delivery sheath.