<prompt> Early complication following TIPSS is:EncephalopathyCapsule rupture and bleedingShunt stenosisShunt thrombosis  <response>: Ans. b Capsule rupture and bleedingRef: Bailey and Love 27th Edition Page 1164 TIPSS is used for patients not responded to drug therapy and endoscopic therapy. Inserted via IJV under fluoroscopic guidance. Main early complication is perforation of liver capsule and fatal intraperitoneal hemorrhage. Other complication is post shunt encephalopathy, occurs in 40 cases. Main contraindication of TIPS is portal vein occlusion. Main long-term complication is shunt stenosis 50 in 1 year and result in recurrent hemorrhage. 