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Semin Intervent Radiol. 2006 Jun;23(2):165-76. doi: 10.1055/s-2006-941447.

Transjugular intrahepatic portosystemic shunt-related complications and practical solutions.

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Department of Diagnostic Radiology, Section of Interventional Radiology, Rush University Medical Center, Chicago Illinois.


Despite the clinical complexity of patients with severe liver disease and the technical demands associated with the creation of a transjugular intrahepatic portosystemic shunt (TIPS), the major complication rate of this procedure is less than 5%. Delayed recognition and treatment of complications related to TIPS can have life-threatening consequences. This article provides an overview of the spectrum of periprocedural and delayed complications related to the performance of TIPS and offers the reader pearls for both avoiding and managing those complications.


Hypertension—portal; complications—transjugular portosystemic shunts; metallic stents—complications; portal vein perforation

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