Rotational intravascular ultrasound (IVUS) imaging devices, systems, and methods are provided. Some embodiments are directed to transducer mounting configurations that enable polymer piezoelectric micro-machined ultrasonic transducers (PMUTs) to be used with a Doppler color flow rotational IVUS imaging system. In one embodiment, a rotational intravascular ultrasound (IVUS) device includes: a flexible elongate body; a piezoelectric micromachined ultrasound transducer (PMUT) coupled to a distal portion of the flexible elongate body; and an application-specific integrated circuit (ASIC) coupled to the distal portion of the flexible elongate body. The ASIC is electrically coupled to the PMUT and includes a pulser, an amplifier, a protection circuit, and timing and control circuitry for coordinating operation of the pulser, amplifier, and protection circuit. The PMUT transducer is mounted with a tilt angle such that the IVUS catheter can be used to collect Doppler ultrasound blood flow data in conjunction with the IVUS imaging.