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Semin Intervent Radiol. 2015 Jun;32(2):123-32. doi: 10.1055/s-0035-1549376.

Transjugular intrahepatic portosystemic shunt complications: prevention and management.

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Division of Vascular and Interventional Radiology, Duke University Medical Center, Durham, North Carolina.
Department of Radiology, Stanford University Medical Center, Palo Alto, California.
Section of Interventional Radiology, Imaging Institute, Cleveland Clinic, Cleveland, Ohio.


Transjugular intrahepatic portosystemic shunt (TIPS) insertion has been well established as an effective treatment in the management of sequelae of portal hypertension. There are a wide variety of complications that can be encountered, such as hemorrhage, encephalopathy, TIPS dysfunction, and liver failure. This review article summarizes various approaches to preventing and managing these complications.


complications; encephalopathy; interventional radiology; portal hypertension; transjugular intrahepatic portosystemic shunt

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