Wang, GuangchuanZhang, FengOjeda, AsuncionShalaby, SarahHernandez Gea, VirginiaGarcia Pagan, Joan Carles2025-02-072025-11-302024-12-011590-8658https://hdl.handle.net/2445/218607Transjugular intrahepatic portosystemic shunt (TIPS), a highly effective procedure reducing portal hypertension, has been in use for over seven decades and is now a cornerstone in managing portal hypertension-related complications such as variceal bleeding and ascites. Historically, TIPS has dealt with two main challenges: ensuring stent patency and preventing post-TIPS hepatic encephalopathy. The introduction of PTFE-coated stents markedly reduced the risk of TIPS dysfunction and stent patency is no longer a major concern. However, despite improved patient selection criteria, hepatic encephalopathy continues to be a significant and persistent issue. In addition, the broader application of TIPS in recent decades has brought to light additional, albeit less common, complications, such as post-TIPS heart failure. This review offers a comprehensive overview of TIPS historical evolution, advancements in technique, and its application in the treatment of portal hypertension.31 p.application/pdfengcc-by-nc-nd (c) Editrice Gastroenterologica Italiana S.r.l, 2024http://creativecommons.org/licenses/by-nc-nd/4.0/Cirrosi hepàticaCirurgia digestivaAscitesHipertensió portalHepatic cirrhosisGastrointestinal surgeryAscitesPortal hypertensioninfo:eu-repo/semantics/article7547202025-02-07info:eu-repo/semantics/openAccess944829238853090