Disclosed herein is an integrated therapeutic and imaging catheter. The catheter comprises an inner member defining a guidewire lumen, a balloon assembly, a treatment device mounted about the balloon assembly, and an imaging device. The balloon assembly comprises an inner sleeve surrounding the inner member and a connection medium, wherein the connection medium is disposed between the balloon inner sleeve and the inner member, and an outer sleeve surrounding the inner sleeve. The imaging device is disposed distal to the balloon assembly and is coupled to the connection medium.