A catheter based medical device is provided for a percutaneous surgical procedure that provides forward-looking visualization and delivery of a medical device. The catheter includes a carriage at its distal end and an ultrasonic transducer is supported by the carriage. A conduit that has its proximal end disposed within the catheter and the conduit passes through the sidewall of the catheter proximate to the distal end of the catheter so that the distal end of the conduit is disposed on an exterior of the sidewall of the catheter. A medical device is deliverable through the lumen of the conduit and the ultrasonic transducer provides visualization of the medical device distally of the transducer.
