Patient Selection for Transjugular Intrahepatic Portosystemic Stent Shunt (TIPSS) Insertion in Variceal Bleeding and Refractory Ascites

Purpose of the Review Transjugular intrahepatic portosystemic stent shunt (TIPSS) is used to treat the complications of portal hypertension. Patient selection prior to TIPSS remains paramount for survival. This review aims to summarise the key clinical steps in patient selection prior to TIPSS and how patient selection has evolved over the last 5 years.