Potential complications of TIPS creation
Complications include hemorrhage, infection, allergic reaction or renal failure due to contrast material, cardiac dysrhythmia, and respiratory failure or aspiration because of intraprocedural sedation. In addition, because the TIPS causes shunting of portal venous blood away from the liver, the procedure may be complicated by a decline in liver function and new or worsened hepatic encephalopathy. Patients with cardiac or renal dysfunction can experience congestive heart failure secondary to increased systemic volume.