Step 1 : IVC Diameter : If ≥ 2 cm, proceed to step 2
Grade 0
(No congestion)
IVC ≤ 2 cm
Step 2 : Hepatic Vein Doppler
Grade 1
(Mild congestion)
IVC ≤ 2 cm
and any combo
of normal or
Mildly Abnl
Patterns
Step 3 : Portal Vein Doppler
Grade 2
(Moderate congestion)
IVC ≤ 2 cm
and
ONE Severely Abnl
Patterns
Step 2 : IVC Diameter : If ≥ 2 cm, proceed to step 2
Grade 3
(Mild congestion)
IVC ≤ 2 cm
and any combo
of normal or
Mildly Abnl
Patterns