ARDMS Vascular Technology (VT) Exam

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A patient with ascites, hepatomegaly, and abdominal pain is referred for an abdominal vascular duplex exam. Which of the following findings would be most consistent with a diagnosis of Budd-Chiari syndrome?

Absence of detectable flow or visualization of thrombus within the major hepatic veins. A highly pulsatile, 'to-and-fro' waveform in the main portal vein. Markedly elevated velocities (>400 cm/s) in the superior mesenteric artery. A patent Transjugular Intrahepatic Portosystemic Shunt (TIPS).

Correct Answer:

Absence of detectable flow or visualization of thrombus within the major hepatic veins.

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