The present invention relates to an
improved method for accelerating restoration of
blood flow in treatment of an acutely thrombosed coronary
artery by employing real time transthoracic 3D ultrasonic volume imaging at or near the base of the heart, and / or
proximate the basal aspect of the associated left ventricular regional
wall motion abnormality. Ultrasonic pulses provided by 3D imaging uniquely and necessarily deliver
ultrasound to a broad target volume to stimulate the
coronary arteries (which are difficult to image with
ultrasound, and comprise tortious three dimensional structures), in view to providing an agitative and clot disruptive effect to a hidden, culprit, thrombosed,
coronary vessel. In the preferred embodiment an intravenous microbubble solution is concurrently administered with 3D
ultrasound which creates a dramatic
synergy in disrupting the culprit
thrombosis. Further incorporation of intravenously administered thrombolytics and co-use of transthoracic
low frequency sonic vibration
massage along with 3D
ultrasonic imaging and
microbubbles (including whereby thrombolytics are contained within
microbubbles) to expedite initial reflow and facilitate microvascular flow (in avoidance of the no-reflow phenomenon following epicardial vessel recanalization) are also discussed.