The present disclosure provides for a device and methods of use to endoluminally ablate and/or occlude a body vessel using a current to perform resistive heating. The device includes a resistive coil, which in some embodiments has a portion with a first, higher average pitch which can be electrified, and a second, lower average pitch, which is not electrified but aids in relieving mechanical stress. The device may have a support, which may be a wire guide, around which the coil is disposed. The device may provide a minimal diameter and flexibility for navigation of tortuous vessels.