The present disclosure relates to ultrasonic catheters including vibration wires that are positionable in a retracted position and an extended position, and their methods of use. In operation, catheters according to the present disclosure are operable in an
occlusion crossing mode, in which the
catheter emits ultrasonic energy with the vibration wires in the retracted position and in an
atherectomy mode, in which the
catheter emits ultrasonic energy with the vibration wires in the extended position, causing the vibration wires to oscillate. The vibration wires may directly or indirectly engage plaque within an
artery, causing the plaque to break free from the
artery wall. The oscillation of the vibration wires may be less
abrasive than conventional
cutting elements used in
atherectomy procedures, such that catheters according to the present disclosure may cause less trauma to
artery walls as compared to conventional
atherectomy devices.