Copelan Alexander, Remer Erick M, Sands Mark, Nghiem Hanh, Kapoor Baljendra
Diagnostic Radiology Department, William Beaumont Hospital, 3601 W 13 Mile Rd., Royal Oak, MI, 48073, USA,
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.
影像学在布加综合征(BCS)疾病的早期检测及病变范围评估中起着至关重要的作用。早期诊断并进行干预以减轻肝淤血对于恢复肝功能和缓解门静脉高压至关重要。介入放射学在这些患者的治疗中发挥着关键作用。介入医生应了解临床表现以及关键的影像学表现,这些往往决定了治疗方法。本文简要回顾了BCS的病因、病理生理学和临床表现,并详细描述了影像学及治疗选择,特别是介入治疗。