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What is Early complication following TIPSS is: and explain in detail?
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.