Hepatic Vascular Disorders: From Diagnosis to Interventional Radiology
Paulo Donato1, João Facas2, Filipe Caseiro Alves1
1Medical Imaging Department, Coimbra's University Hospital, Coimbra, Portugal; Faculty of Medicine, Coimbra's University, Coimbra, Portugal.
Insights
This study reviews hepatic vascular pathologies and their imaging features, focusing on portal hypertension. It details endovascular techniques to manage these conditions, aiming to reduce patient morbidity and mortality.
Area of Science:
- Radiology and Medical Imaging
- Vascular Surgery
- Hepatology
Background:
- Hepatic vascular pathologies share portal hypertension as a common clinical feature.
- Accurate imaging is crucial for diagnosing and managing these diverse conditions.
- These diseases significantly impact patient morbidity and mortality.
Purpose of the Study:
- To describe the key imaging features of major hepatic vascular pathologies.
- To outline endovascular intervention techniques for each pathology.
- To emphasize the role of interventions in disease management and prevention of complications.
Main Methods:
- Review of imaging characteristics for conditions including portal thrombosis, Budd-Chiari syndrome, hereditary hemorrhagic telangiectasia, portosystemic shunts, and congenital vascular malformations.
- Compilation of indications for endovascular interventions.
- Discussion of interventional outcomes.
Main Results:
- Specific imaging findings are associated with distinct hepatic vascular diseases.
- Various endovascular techniques are available for treating these pathologies.
- Interventions can effectively alter disease progression.
Conclusions:
- Comprehensive understanding of imaging is vital for diagnosing hepatic vascular pathology.
- Endovascular interventions offer therapeutic options to manage these conditions.
- Timely and appropriate interventions can mitigate severe outcomes.
Abstract:
Hepatic vascular pathology comprises a spectrum of diseases with specific imaging features that have portal hypertension as a common denominator. The imaging features of the main pathologies are described, such as portal thrombosis, Budd-Chiari syndrome, hereditary hemorrhagic telangiectasia, portosystemic shunts and congenital vascular malformations. Endovascular intervention techniques are listed according to the indication for each hepatic vascular pathology and emphasis is placed on the ability to shape disease progression in order to prevent related morbidity and mortality.
Related Concept Videos
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Imaging Studies VII: Vascular Imaging
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Peripheral Artery Disease III: Interprofessional Care
Venous Thrombosis III: Interprofessional Care
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...


