The application relates to a
laser ablation system and a working method. The
laser beam and the indicating light are combined through a beam alignment module, the
laser beam is ensured to stably enter a plaque target position, and the
ablation reliability is improved; the laser energy is monitored in real time through an energy monitoring module, the outgoing energy is adjusted, the outgoing energy is ensured to be stably in a required
ablation range, the laser parameters of a laser emission module need not to be adjusted, the ablation complexity is reduced, the plaque ablation effect is ensured, the damage risk of a laser
catheter is reduced; the laser pulse is time-domainally widened through a pulse widening module, the peak power of the laser beam is reduced, the laser energy more gently acts on the plaque, and the damage to the laser
catheter is reduced; the
light spot energy distribution is more uniform through a homogenization
coupling module, and the damage to the laser
catheter is reduced; laser energy is delivered to a plaque target position in a
blood vessel through a laser catheter, precise ablation treatment of the plaque in the
blood vessel is realized, and the stability and reliability of the
laser ablation are improved.