Intrahepatic Portosystemic Shunt (TIPS): Evolving Indications

Transjugular intrahepatic portosystemic shunt (TIPS) is a minimally invasive procedure used to manage complications of portal hypertension, including most frequently refractory ascites and variceal bleeding. While TIPS has established indications, contraindications, and procedural guidelines, its scope is expanding with advancements in technology and improved evidence-based patient selection criteria. This article reviews the current indications and contraindications for TIPS, examines potential expanding applications, and discusses consensus guidelines from organizations such as the Society of Interventional Radiology (SIR), Cardiovascular and Interventional Radiological Society of Europe (CIRSE), and American Association for the Study of Liver Diseases (AASLD).