Systems and methods for navigating, opening and cleaning plaque or total occlusion in arteries

A vascular guide wire device comprising:

• a guide wire comprising a guide wire head and a laser-acoustic head sensor positioned at the guide wire's distal end configured to navigate in a patient's artery, the guide wire configured to advance in the patient's artery in the direction the patient's artery extends, said laser-acoustic head sensor connected via an optic fiber threaded through said guide wire device with a laser diode controlled by a laser diode controller and configured to send laser pulses inside said patient's artery, in the direction the patient's artery extends, and into total occlusions of the patient's artery and receive reflected acoustic signals to be converted into images;
• a computerized system electronically communicating with said laser-acoustic head sensor, said computerized system comprising a computer, image processing means and a display;
• wherein said computerized system is configured to provide images and measurements 2-5 centimeters into total occlusions in said patient's artery on said display, using said reflected acoustic signals and image processing, thereby enabling to move and navigate safely into the correct artery lumen;
• first steering means connected with said guide wire head and configured to navigate said laser-acoustic head sensor according to said image processing results;
• and
• opening means connected with said guide wire head for opening total occlusion of said artery.