Abad-Santos Matthew, Jeffries James, Hua Charles, Johnson Guy E
Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, WA.
Department of Radiology, Section of Interventional Radiology, University of Washington, Seattle, WA.
Tech Vasc Interv Radiol. 2025 Sep;28(3):101057. doi: 10.1016/j.tvir.2025.101057. Epub 2025 Jul 6.
In cirrhotic patients, refractory ascites (RA) is a devastating consequence of portal hypertension and is associated with high morbidity and mortality. Over the past quarter century, transjugular intrahepatic portosystemic shunt (TIPS) placement has become a key treatment for patients with RA, but there has been an evolution of patient evaluation, stents, and procedural techniques during this time. As such, the rates of ascites control, survival, and associated hepatic encephalopathy have evolved as well. This review examines the evidence and current recommendations for TIPS in the setting of RA.
