Catheter with rotatable balloon

This invention generally relates to intravascular catheters, such as balloon catheters used in percutaneous transluminal coronary angioplasty (PTCA), stent delivery, and drug delivery. An intraluminal catheter having a catheter shaft and distal member rotatable relative to at least a section of the catheter shaft. In one embodiment, the catheter has a catheter shaft, a distal member, which in a presently preferred embodiment is a balloon mounted on a distal portion of the shaft, and a tubular sealing member having an expandable portion disposed at least in part within a section of the distal member. The tubular sealing member has an expanded configuration, and an unexpanded configuration expandable into contact with the section of the distal member, so that the distal member is rotatable relative to at least a section of the catheter shaft and to the tubular sealing member when the tubular sealing member is in the unexpanded configuration.