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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