Catheter with vessel lining and methods for using same

1. A system for providing access across a site of obstruction, the system comprising:

a sleeve having an inflation lumen;

an anchoring member coupled to the sleeve, the anchoring member being in fluid communication with the inflation lumen and being expandable from a deflated position to an inflated position to anchor the sleeve near a site of obstruction when the inflation lumen is pressurized to an anchoring pressure sufficient to anchor the sleeve in proximity to a site of obstruction; and

an everting member movable from an inverted position inside the sleeve to an everted position outside the sleeve due to a pressure increase in the inflation lumen greater than the anchoring pressure,

wherein the sleeve comprises a distal portion configured to be moved by the everting member from an inverted position inside the sleeve to an everted position outside the sleeve.

2. The system of claim 1 , wherein, when the distal portion is in the everted position, a pathway is formed extending across a juncture between the distal portion and a remaining portion of the sleeve to provide access across a site of obstruction.

3. A system for providing access across a site of obstruction, the system comprising:

a sleeve having an inflation lumen;

an anchoring member coupled to the sleeve, the anchoring member being in fluid communication with the inflation lumen and being expandable from a deflated position to an inflated position to anchor the sleeve near a site of obstruction when the inflation lumen is pressurized to an anchoring pressure sufficient to anchor the sleeve in proximity to a site of obstruction;

an everting member movable from an inverted position inside the sleeve to an everted position outside the sleeve due to a pressure increase in the inflation lumen greater than the anchoring pressure; and

a puncture wire for opening a distal end of the everting member.

4. The system of claim 1 wherein the everting member is connected to a distal end of the anchoring member.

5. The system of claim 1 wherein the anchoring member is independent from the everting member.

6. The system of claim 1 wherein the everting member has an outer diameter smaller than an outer diameter of the anchoring member.

7. The system of claim 1 further comprising a guidewire sheath positioned about the sleeve and having a lumen through which a guidewire can be advanced between.

8. A system for providing access across a site of obstruction comprising:

a sleeve having an inflation lumen;

an anchoring cuff disposed about the sleeve, the anchoring cuff being in fluid communication with the inflation lumen for inflating the anchoring cuff to anchor the sleeve near a site of obstruction; and

a balloon in fluid communication with the inflation lumen, the balloon having an everting section movable from an inverted position inside the sleeve to an everted position outside the sleeve when the inflation lumen is pressurized to an eversion pressure,

wherein the sleeve comprises a distal portion configured to be moved by the everting section from an inverted position inside the sleeve to an everted position outside the sleeve.

9. The system of claim 8 , wherein when the distal portion is in the everted position a pathway is formed extending across a juncture between the distal portion and a remaining portion of the sleeve to provide access across a site of obstruction.

10. A system for providing access across a site of obstruction comprising:

a sleeve having an inflation lumen;

an anchoring cuff disposed about the sleeve, the anchoring cuff being in fluid communication with the inflation lumen for inflating the anchoring cuff to anchor the sleeve near a site of obstruction;

a balloon in fluid communication with the inflation lumen, the balloon having an everting section movable from an inverted position inside the sleeve to an everted position outside the sleeve when the inflation lumen is pressurized to an eversion pressure; and

a puncture wire for opening a distal end of the everting section.

11. The system of claim 8 wherein the everting section is connected to a distal end of the anchoring cuff.

12. The system of claim 8 wherein the anchoring cuff is independent from the everting section.

13. The system of claim 8 wherein the everting section has an outer diameter smaller than an outer diameter of the anchoring cuff.

14. The system of claim 8 further comprising a guidewire sheath positioned about the sleeve and having a lumen through which a guidewire can be advanced between.

15. A method of providing access across a site of obstruction, the method comprising:

positioning a sleeve having an inflation lumen adjacent to a site of obstruction;

pressurizing the inflation lumen to a first pressure to inflate an anchoring member to anchor the sleeve near the site of obstruction;

pressurizing the inflation lumen to a second pressure higher than the first pressure to evert an everting member from inside the sleeve through the site of obstruction.

16. A method of providing access across a site of obstruction, the method comprising:

positioning a sleeve having an inflation lumen adjacent to a site of obstruction;

pressurizing the inflation lumen to a first pressure to inflate an anchoring member to anchor the sleeve near the site of obstruction;

pressurizing the inflation lumen to a second pressure higher than the first pressure to evert an everting member from inside the sleeve through the site of obstruction; and

puncturing a distal end of the everting member to provide access across the site of obstruction.

17. The method of claim 15 further comprising everting with the everting member a distal portion of the sleeve from an inverted position inside the sleeve to an everted position outside the sleeve and through the site of obstruction to provide access across the site of obstruction.

18. The method of claim 15 wherein the everting member has a smaller outer diameter than the anchoring member.