Transjugular intrahepatic portosystemic shunts (TIPS) are effective in reducing the
portosystemic gradient and relieving complications of portal hypertension. Despite
optimal patient selection, TIPS placement can be limited due to worsening hepatic
encephalopathy and liver failure. In these cases, TIPS reduction may be necessary.
A brief history of TIPS reduction and techniques for reduction are reviewed.
Keywords
interventional radiology - transjugular intrahepatic portosystemic shunt - portal
hypertension - complication - hepatic encephalopathy