ARRS 2022 Abstracts


E1344. Unravelling the Web: Budd Chiari Syndrome - From Diagnosis to Intervention
  1. Malathi Bhat; Father Muller Medical College Hospital
  2. Seyedeh Masoom; Hospital of University of Pennsylvania
  3. Richard Thomas; Lahey Hospital and Medical Center
  4. Lenon D Souza; Father Muller Medical College Hospital
Budd Chiari syndrome refers to a diverse group of conditions characterized by hepatic venous outflow obstruction. The diagnosis of Budd Chiari syndrome is made by imaging techniques accompanied by a high degree of clinical suspicion. Endovascular treatment plays an important role in the management of Budd Chiari Syndrome.

Educational Goals / Teaching Points
This educational exhibit will attempt to review the various imaging features of Budd Chiari syndrome on ultrasound, CT, and MRI with representative images demonstrating the classic signs. Endovascular management options for Budd Chiari syndrome with image and video examples demonstrating the various techniques will be presented.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
The clinical manifestations of Budd Chiari syndrome depend on the underlying etiology, including venous thrombosis, anatomical variants (stenosis and webs), and extrinsic venous compression. A wide range of imaging features can be seen with Budd Chiari syndrome on ultrasound, CT, and MRI. The endovascular management of Budd Chiari syndrome includes targeted thrombolytic administration, angioplasty with or without stenting, transjugular intrahepatic portosystemic shunt (TIPS), and direct intrahepatic portosystemic shunt (DIPS).

Radiologists play an important role in the diagnosis and treatment of Budd Chiari Syndrome. Endovascular procedures used in the management of selected cases of Budd Chiari syndrome helps significantly improve the patient’s outcome.