An intravascular device (300; 800; 1200; 1400; 1500; 1600), comprising: a handle (310; 810; 1210; 1410; 1510; 1610) at a proximal portion (306; 806; 1206; 1406;1506; 1606); an angled distal portion (302; 802; 1202; 1402; 1502; 1602); and an elongated member (304; 804; 1204; 1404; 1504; 1604) coupled to and extending between the handle (310; 810; 1210; 1410; 1510; 1610) and the angled distal portion (302; 802; 1202; 1402; 1502; 1602), wherein the elongated member (304; 804; 1204; 1404; 1504; 1604) includes an outer sheath (324; 824; 1224; 1424; 1524; 1624) comprising a polymer; and a hollow rotational member (322; 822; 1222; 1422; 1522; 1622) within the sheath (324; 824; 1224; 1424; 1524; 1624), wherein the rotational member (322; 822; 1222; 1422; 1522; 1622) is coupled to the angled distal portion (302; 802; 1202; 1402; 1502; 1602), and wherein rotation of the rotational member (322; 822; 1222; 1422; 1522; 1622) directly causes rotation of the angled distal portion (302; 802; 1202; 1402; 1502; 1602), wherein the hollow rotational member (322; 822; 1222; 1422; 1522; 1622) comprises a braid-reinforced polymer layer defining a first length and a second length, wherein the outer sheath (324; 824; 1224; 1424; 1524; 1624) is positioned over the first length of the braid-reinforced polymer layer; and wherein the angled distal portion (302; 802; 1202; 1402; 1502; 1602) includes a lumen (326; 826; 1226; 1426; 1526; 1626) there through, a hollow tube positioned over the second length of the braid-reinforced polymer layer, the hollow tube comprising a metal and being configured to be shaped to form a first section and a second section that extends distally at an angle from the first section, and wherein the angle between the first section and the second section remains the same when an interventional device is at least partially within the lumen (326; 826; 1226; 1426; 1526; 1626) of the distal portion (302; 802; 1202; 1402; 1502; 1602) and spans at least a portion of the first section and at least a portion of the second section. a handle (310; 810; 1210; 1410; 1510; 1610) at a proximal portion (306; 806; 1206; 1406;1506; 1606); an angled distal portion (302; 802; 1202; 1402; 1502; 1602); and an elongated member (304; 804; 1204; 1404; 1504; 1604) coupled to and extending between the handle (310; 810; 1210; 1410; 1510; 1610) and the angled distal portion (302; 802; 1202; 1402; 1502; 1602), wherein the elongated member (304; 804; 1204; 1404; 1504; 1604) includes an outer sheath (324; 824; 1224; 1424; 1524; 1624) comprising a polymer; and a hollow rotational member (322; 822; 1222; 1422; 1522; 1622) within the sheath (324; 824; 1224; 1424; 1524; 1624), wherein the rotational member (322; 822; 1222; 1422; 1522; 1622) is coupled to the angled distal portion (302; 802; 1202; 1402; 1502; 1602), and wherein rotation of the rotational member (322; 822; 1222; 1422; 1522; 1622) directly causes rotation of the angled distal portion (302; 802; 1202; 1402; 1502; 1602), wherein the hollow rotational member (322; 822; 1222; 1422; 1522; 1622) comprises a braid-reinforced polymer layer defining a first length and a second length, wherein the outer sheath (324; 824; 1224; 1424; 1524; 1624) is positioned over the first length of the braid-reinforced polymer layer; and an outer sheath (324; 824; 1224; 1424; 1524; 1624) comprising a polymer; and a hollow rotational member (322; 822; 1222; 1422; 1522; 1622) within the sheath (324; 824; 1224; 1424; 1524; 1624), wherein the rotational member (322; 822; 1222; 1422; 1522; 1622) is coupled to the angled distal portion (302; 802; 1202; 1402; 1502; 1602), and wherein rotation of the rotational member (322; 822; 1222; 1422; 1522; 1622) directly causes rotation of the angled distal portion (302; 802; 1202; 1402; 1502; 1602), wherein the hollow rotational member (322; 822; 1222; 1422; 1522; 1622) comprises a braid-reinforced polymer layer defining a first length and a second length, wherein the outer sheath (324; 824; 1224; 1424; 1524; 1624) is positioned over the first length of the braid-reinforced polymer layer; and wherein the angled distal portion (302; 802; 1202; 1402; 1502; 1602) includes a lumen (326; 826; 1226; 1426; 1526; 1626) there through, a hollow tube positioned over the second length of the braid-reinforced polymer layer, the hollow tube comprising a metal and being configured to be shaped to form a first section and a second section that extends distally at an angle from the first section, and wherein the angle between the first section and the second section remains the same when an interventional device is at least partially within the lumen (326; 826; 1226; 1426; 1526; 1626) of the distal portion (302; 802; 1202; 1402; 1502; 1602) and spans at least a portion of the first section and at least a portion of the second section. a lumen (326; 826; 1226; 1426; 1526; 1626) there through, a hollow tube positioned over the second length of the braid-reinforced polymer layer, the hollow tube comprising a metal and being configured to be shaped to form a first section and a second section that extends distally at an angle from the first section, and wherein the angle between the first section and the second section remains the same when an interventional device is at least partially within the lumen (326; 826; 1226; 1426; 1526; 1626) of the distal portion (302; 802; 1202; 1402; 1502; 1602) and spans at least a portion of the first section and at least a portion of the second section.