Thrombosis macerating and aspiration devices for blood vessels

A catheter for macerating a blockage or clot, comprising:

• a main tubular shaft having a distal end and a proximal end;
• a guidewire disposed in the main tubular shaft;
• a macerating element disposed on the guidewire adjacent the distal end, the macerating element comprising a plurality of struts that are expandable when the macerating element is disposed out of the main tubular shaft;
• and
• a blade disposed within the macerating element on the guidewire, the blade configured to mechanically aspirate while it rotates.