Interventional radiological management offers good hope for patients with Budd Chiari syndrome.

Conventional treatment would include long term anticoagulation only.

Now hepatic venoplasty or Transjugular intrahepatic portosystemic shunting has changed the scenario.

These procedures can be successful in maintaining long term patency and prevent/halt the progression of cirrhosis in Budd-Chiari syndrome patients.

Acknowledgements to Dr Kapil Naik, My colleague in IR