The present disclosure provides for a device and methods of use to endoluminally ablate and/or occlude a body vessel using a radiofrequency ("RF") signal and a current to perform resistive heating. The device may have a RF mode and a resistive mode, and may perform each mode in sequential order until the vessel is fully occluded. The device further comprises a control unit to operate the device in its various modes. The device may be provided in a system including an occlusive element, such as a balloon catheter, to prevent blood flow through the ablation/occlusion site.