A catheter (200) comprising: an elongated body (232) having an internal body passage (210) and an opening (234) therein； a first drive shaft (208) placed in the internal passage (210) of the body and adapted to rotate within the internal passage (210) of the body, the first drive shaft (208) defines a first internal passage (225) of drive shaft； a tissue cutting element (206) coupled to the first drive shaft (208) to impart rotation to the tissue cutting element (206)； a second drive shaft (223) placed in the first inner passage (225) of drive shaft, the second drive shaft (223) is rotatable with respect to the first drive shaft (208)； and an energy emitting element (222) mounted on the second drive shaft (223) which is placed in the first internal passage (225) of the drive shaft, the first and second drive shaft (208, 223) lack connection to each other at a length of at least 10 cm from the energy emitting element (222), the body (232) includes a tissue collection element (236), the tissue collection element (236) placed distal to the cutting element (206)； the cutting element (206) is movable from a storage position to a cutting position, where a part of the cutting element (206) extends through the opening (234) when it is moved from the storage position to the cutting position and wherein said cutting element (206) is further configured to cut tissue and direct the tissue distally inside the tissue collecting element (236) when the cutting element (206) and the opening (234) are move distally through a vascular location and characterized in that the energy emitting element (222) is configured to direct energy through the first drive shaft (208) and the body (232), the first drive shaft (208) and the body (232) allows, each one, that at least part of the energy emitted from the energy emitting element (222) passes through them.Un catéter (200) que comprende: un cuerpo alargado (232) que tiene un paso interno (210) de cuerpo y una abertura (234) en el mismo； un p
