The transjugular intrahepatic portosystemic shunt (TIPS) is a percutaneous imaging-guided procedure that effectively reduces portal pressure by diverting blood from the portal to the systemic circulation. Despite being a very effective treatment for portal hypertension-related complications, the use of TIPS was hampered for many years by the high rate of TIPS dysfunction, an issue that has become almost anecdotal since the introduction of covered stents.(1) (1)(1) Currently, development of post-TIPS hepatic encephalopathy and, much less frequently, post-TIPS liver and cardiac failure remain as the major complications of TIPS, limiting its use. Until effective preventive and/or therapeutic strategies are available, adequate patient selection is the best existing approach to diminish the rate of these TIPS complications.

中文翻译：

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预测 TIPS 后的心力衰竭：问题多于答案

经颈静脉肝内门体分流术 (TIPS) 是一种经皮成像引导的手术，通过将血液从门静脉分流到体循环来有效降低门静脉压力。尽管 TIPS 是治疗门脉高压相关并发症的一种非常有效的方法，但由于 TIPS 功能障碍的发生率很高，TIPS 的使用多年来一直受到阻碍，自从引入覆膜支架以来，这个问题几乎成为传闻。(1) (1) (1) 目前，TIPS 后肝性脑病的发展以及更少见的 TIPS 后肝和心力衰竭仍然是 TIPS 的主要并发症，限制了其使用。在获得有效的预防和/或治疗策略之前，充分选择患者是降低这些 TIPS 并发症发生率的最佳现有方法。