Atherosclerotic plaques mainly consist of cholesteryl esters. Cholesteryl esters have an absorption peak at the wavelength of 5.75 μm originated from C=O stretching vibration mode of ester bond. Our group achieved making cutting difference between atherosclerotic lesions and normal vessels using a quantum cascade laser (QCL) in the 5.7 μm wavelength range. QCLs are relatively new types of semiconductor lasers that can emit mid-infrared range. They are sufficiently compact and have recently achieved their high-power emission. However, large thermal damage was observed because the QCL worked as a quasi-continuous wave laser due to its short pulse interval. To realize less invasive ablation by the QCL, reducing thermal effects to normal vessels is needed. In this study, we tried improving the thermal effects by changing the pulse structure. First, irradiation effects to rabbit atherosclerotic aortas by macro pulse irradiation (irradiation of pulses at intervals) and conventional continuous pulse irradiation were compared. The macro pulse width and the macro pulse interval were set to 0.54 and 12 ms, respectively, because the thermal relaxation time of rabbit normal and atherosclerotic aortas in the oscillation wavelength was 0.54-12 ms. As a result, ablation depth became longer and coagulation width became shorter by the macro pulse irradiation. In addition, cutting difference between rabbit normal and atherosclerotic aortas was observed by the macro pulse irradiation. Therefore, the macro pulse irradiation achieved the improvement of thermal effects by the QCL in the 5.7 μm wavelength range. The QCL has the potential of realizing less-invasive laser angioplasty.