Review of Budd-Chiari Syndrome

Maoheng Zu; Hao Xu; Qingqiao Zhang; Yuming Gu; Ning Wei; Wei Xu; Yanfeng Cui; Hongtao Liu

doi:10.1016/j.jimed.2020.03.002

Review of Budd-Chiari Syndrome

J Interv Med. 2020 Mar 31;3(2):65-76. doi: 10.1016/j.jimed.2020.03.002. eCollection 2020 May.

Authors

Maoheng Zu¹, Hao Xu¹, Qingqiao Zhang¹, Yuming Gu¹, Ning Wei¹, Wei Xu¹, Yanfeng Cui¹, Hongtao Liu¹

Affiliation

¹ Department of Interventional Radiology, The Affiliated Hospital of XuZhou Medical University, Province Jiangsu, PR China.

Abstract

This study aims to report the Budd-Chiari syndrome clinical research status and progress that has occurred in over nearly 30 years in China, and emphasize the value of imaging in facilitating the diagnosis of Budd-Chiari syndrome based on more than 2500 cases. Findings on ultrasonography, computed tomography, magnetic resonance imaging, and digital subtraction angiography images are used to propose new Budd-Chiari syndrome types and subtypes. The new subtype classification presented here has important value for guiding interventional treatment. This study also proposes a new concept of anatomical and functional obstruction of hepatic vein that stresses the compensatory value of accessory hepatic vein and azygos vein and describes the risk of manipulation of the communication branch of inferior vena cava obstruction in interventional therapy.

Keywords: Budd-chiari syndrome; Etiology; Imaging diagnosis; Type and subtype.