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.

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