The invention generally relates to devices and methods that allow an operator to obtain real-time images of a luminal surface during an implant delivery procedure. In certain embodiments, a delivery device of the invention includes an elongate body and an inner member moveably disposed within the elongate body. The elongate body includes a first imaging element and defining a center lumen that leads to an opening. The elongate body is configured to releasably hold an implant within the center lumen and the first imaging element is configured to at least partially surround the center lumen such that the implant is deployable through the first imaging element. The inner member is configured to engage with and deploy the implant out of the opening of the elongate body and into a body lumen.
