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Ultrasonographic Visualization of Accessory Hepatic Veins and Their Lesions in Budd-Chiari Syndrome

Shi-Feng Cai1, Yong-Hao Gai2, Shuang Ma3

  • 1Department of Radiology, Provincial Hospital Affiliated to Shandong University, Jinan City, Shandong Province, China.

Ultrasound in Medicine & Biology
|May 9, 2015
PubMed

Insights

Ultrasonography effectively visualizes accessory hepatic veins (AHVs) and their lesions in Budd-Chiari syndrome (BCS). This imaging technique aids in understanding hemodynamics and planning patient treatment.

Area of Science:

  • Radiology
  • Vascular Imaging
  • Hepatology

Background:

  • Budd-Chiari syndrome (BCS) involves hepatic venous outflow obstruction.
  • Accessory hepatic veins (AHVs) are often implicated but less studied in BCS.
  • Accurate visualization of AHVs and their lesions is crucial for BCS management.

Purpose of the Study:

  • To investigate the ultrasonographic features of accessory hepatic veins (AHVs) in patients with Budd-Chiari syndrome (BCS).
  • To evaluate the diagnostic superiority of ultrasonography for AHV lesions and hemodynamics compared to other imaging modalities.

Main Methods:

  • Three hundred patients with BCS underwent ultrasonography using multifrequency convex transducers.
  • Sonographic evaluation included number, course, diameter, orifice, lesions, and hemodynamics of AHVs.
  • Comparison with digital subtraction angiography, CT angiography, and MRI was performed.

Main Results:

  • Ultrasonography demonstrated superiority in revealing AHV lesions and hemodynamics.
  • Dilated AHVs were detected in 227 patients.
  • Common AHV lesions included septal obstruction and segmental stenosis, with hemodynamics varying based on IVC and AHV conditions.

Conclusions:

  • Ultrasonic examination is highly effective for identifying AHVs and their associated lesions in BCS.
  • This modality provides valuable insights into hemodynamics, aiding therapeutic planning for BCS patients.

Keywords:
Budd–Chiari syndromeCaudate lobe veinInferior right hepatic veinInferior vena cavaThrombosisUltrasonography

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