[An excerpt of European Association for the Study of the Liver clinical practice guidelines on transjugular intrahepatic portosystemic shunt in 2025].

Abstract

Transjugular intrahepatic portosystemic shunt (TIPS) is a proven procedure therapy for complications in cirrhotic portal hypertension (PH). In recent years, there has been a lot of progress in the field of TIPS, especially in terms of technical operation, prognostic models, and indication expansion. Therefore, the guidelines aim to provide a comprehensive overview of all aspects of the use of TIPS in patients with cirrhosis while separating sections pertaining to other specialized subjects (e.g., the usage of TIPS in surgical procedures and hepatovascular disorders).