An intravascular catheter is provided, including a flexible elongate body； an expandable element positioned on the elongate body； a substantially linear thermal segment located proximally of the expandable element, the thermal segment defining a first flexibility, where the thermal segment is positioned between two portions of the catheter body each including a flexibility less than that of the thermal segment； a first fluid flow path in fluid communication with the expandable element； and a second fluid flow path in fluid communication with the thermal segment.
