A vascular interventional device may be introduced over a guidewire into a vessel of the cardiovascular
system of a patient. This device includes a hollow, flexible tube having a proximal end and a distal end that is adapted to selectively engage a
target vessel of the cardiovascular
system of the patient. This tube also includes a lumen that is continuous from the proximal to the distal end, and has an end hole in the distal end that is in fluid communication with the lumen. The device also includes a hollow
vessel dilator that is adapted for
insertion into and through the tube and over the guidewire. The
dilator has an inside
diameter that is slightly larger than the guidewire and an outside
diameter that is slightly smaller than the
diameter of the lumen of the tube. The distal end of the
dilator is adapted to accommodate vascular entry over the guidewire, and the
dilator is adapted to dilate the vessel to accept the tube. The device also includes a hub at the proximal end of the tube. The hub includes an end port through which a second interventional device having an outside diameter smaller than the diameter of the lumen may be introduced into the lumen of the tube. The hub also includes a side port through which a fluid agent may be injected for delivery through the lumen and out the end hole of the tube. A sealing mechanism is also provided in the hub to prevent air from entering the tube and blood and other fluids from leaking out of the tube through the hub. A pair of vascular interventional devices, at least one of which is constructed according to the invention, may be utilized to treat or study a cardiovascular condition, or to measure the
blood pressure across a vascular segment.