A device (160) for modifying tissue in a patient may include: an elongate body (162) having a rigid proximal portion (162) and a flexible distal portion (164) having first (165) and second (167) major surfaces a proximal handle (170) coupled with the proximal portion of the body one or more tissue modifying members (166) disposed along the first major surface of the distal portion of the body a guidewire (172) coupled with and extending from the distal portion of the body and a distal handle (174) removably coupleable with the guidewire outside the patient.