Indications for creating a transjugular intrahepatic portosystemic shunt

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Indications for creating a transjugular intrahepatic portosystemic shunt (TIPS)

TIPS creation is frequently performed to prevent recurrent variceal bleeding related to portal hypertension.

Other indications include refractory ascites or hepatic hydrothorax, Budd-Chiari syndrome, portal hypertensive gastropathy, and hepatorenal or hepatopulmonary syndrome.

TIPS placement may be an effective bridge to liver transplantation for patients with end-stage liver disease and manifestations of portal hypertension.

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