An implantable medical device is tethered to a delivery catheter by a length of a tether, which extends through an attachment feature of the device and between a free end thereof and a secured end thereof, wherein the secured end is fixedly coupled to a tubular member of the catheter in proximity to a distal end thereof, and the free end is engaged against an inner surface of a sidewall that extends within the tubular member. The free end of the tether may be engaged against the inner surface by an enlarged distal tip of an elongate wire that extends within a lumen defined by the inner surface of the sidewall. An operator may move the distal tip of the wire out through a distal opening of the lumen, thereby pushing the free end of the tether out from engagement with the surface, to untether the device from the catheter.