Diagnosis and management of Budd Chiari syndrome: an update

Cardiovasc Intervent Radiol. 2015 Feb;38(1):1-12. doi: 10.1007/s00270-014-0919-9. Epub 2014 Jun 13.


Imaging plays a crucial role in the early detection and assessment of the extent of disease in Budd Chiari syndrome (BCS). Early diagnosis and intervention to mitigate hepatic congestion is vital to restoring hepatic function and alleviating portal hypertension. Interventional radiology serves a key role in the management of these patients. The interventionist should be knowledgeable of the clinical presentation as well as key imaging findings, which often dictate the approach to treatment. This article concisely reviews the etiology, pathophysiology, and clinical presentation of BCS and provides a detailed description of imaging and treatment options, particularly interventional management.

Publication types

  • Review

MeSH terms

  • Budd-Chiari Syndrome / diagnosis*
  • Budd-Chiari Syndrome / therapy*
  • Diagnostic Imaging*
  • Humans
  • Liver / diagnostic imaging
  • Liver / pathology
  • Magnetic Resonance Imaging
  • Radiology, Interventional*
  • Tomography, X-Ray Computed
  • Ultrasonography, Doppler