The present disclosure provides a cutting edge cutting catheter and a method for treatment of peripheral chronic total occlusion (“CTO”) in a body vessel. The cutting edge cutting catheter has an arcuate cutting edge slidably disposed within an elongate member or catheter. A tension mechanism connects to the cutting edge and applies a tension to move the cutting edge between a bent state and a straight state. An expandable balloon surrounds the elongate member to dilate the occluded body vessel and ablate the occlusion.
