Contraindications for TIPS

Contraindications to performing the TIPS procedure?

  • Elevated right or left heart pressures
  • Heart failure or cardiac valvular insufficiency
  • Marked pulmonary hypertension
  • Rapidly progressing liver failure
  • Clinically significant hepatic encephalopathy
  • Uncontrolled sepsis or systemic infection
  • Unrelieved biliary obstruction
  • Severe, uncorrectable coagulopathy
  • Extensive hepatic malignancy (primary or secondary)
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