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Role of radiological imaging and interventions in management of Budd-Chiari syndrome
1Department of Radiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110029, India.
Insights
Budd-Chiari syndrome (BCS) involves impaired hepatic venous drainage causing liver congestion. Diagnosis relies on imaging like CT and MRI, with interventional radiology offering treatment options.
Area of Science:
- Radiology
- Hepatology
- Vascular Medicine
Background:
- Budd-Chiari syndrome (BCS) is characterized by impaired hepatic venous drainage, leading to hepatic congestion.
- Obstruction can occur at various levels, from hepatic veins to the vena cava-atrial junction.
Purpose of the Study:
- To present the diverse imaging features of Budd-Chiari syndrome.
- To outline interventional radiology procedures used in managing BCS.
Main Methods:
- Non-invasive imaging techniques including ultrasonography with venous Doppler, triphasic computed tomography (CT), and magnetic resonance imaging (MRI).
- Review of interventional radiology procedures for BCS management.
Main Results:
- Imaging modalities effectively diagnose BCS by revealing characteristic patterns of hepatic venous outflow obstruction.
- Interventional radiology offers therapeutic options for managing BCS.
Conclusions:
- Accurate diagnosis of BCS is achievable through various advanced imaging techniques.
- Interventional radiology plays a crucial role in the successful management of Budd-Chiari syndrome.
Abstract:
Budd-Chiari syndrome (BCS) is a clinical condition resulting from impaired hepatic venous drainage, in which there is obstruction to the hepatic venous outflow at any level from the small hepatic veins to the junction of the inferior vena cava and the right atrium leading to hepatic congestion. The diagnosis of BCS is based on imaging, which can be gathered from non-invasive investigations such as ultrasonography coupled with venous Doppler, triphasic computed tomography (CT) and magnetic resonance imaging (MRI). Apart from diagnosis, various interventional radiology procedures aid in the successful management of this syndrome. In this article, we present various imaging features of BCS along with various interventional procedures that are used to treat this diverse condition.
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