The invention discloses an intelligent device with a laser thrombus crushing function, which comprises a tube sheath, a guide wire and a catheter, the guide wire and the catheter are sleeved at the front end of the tube sheath, the tube sheath is arranged in a tube sheath fixer, and a holmium laser instrument for emitting holmium laser and a vacuum tube device for vacuum extraction of thrombus are arranged outside the tube sheath fixer. An optical fiber and a delivery tube which are respectively connected with the holmium laser instrument and the vacuum tube device are arranged in the catheter sheath fixer, the optical fiber and the delivery tube extend in the catheter in the same direction and extend out, and a laser head used for smashing thrombus by laser is arranged at the extending end of the optical fiber. The intelligent device with the thrombus laser smashing function can conduct vacuum extraction after large thrombus is smashed through laser, the problem that a patient is not suitable for thrombolysis treatment is solved, the intelligent device is high in precision, small, exquisite, flexible and free of limitation, deliverability of a support is guaranteed, and the success rate of an operation is increased.