In this episode of Guts n Gall, we are focusing on the on TIPS (transjugular intrahepatic portosystemic shunt) procedure. We cover:

• Understanding the normal anatomy of the hepatic vascular system as a foundation for comprehending TIPS.
• Exploring the indications for TIPS, particularly in patients with variceal bleeding and refractory ascites.
• Highlighting the contraindications of TIPS, including conditions like congestive heart failure and hepatic encephalopathy.
• Discussing the pre-procedural steps required for TIPS, such as lab workup, imaging studies, and cardiac testing.
• Breaking down the TIPS procedure
• Addressing potential complications of TIPS, including cardiac arrhythmias and liver capsule puncture.