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Multiple Choice

Which statement about TIPS is true?

The main idea is creating a direct channel between the portal venous system and the hepatic venous system inside the liver to reduce portal hypertension. This is done through a transjugular approach, placing a stent to connect a branch of the portal vein to a hepatic vein, most often the right portal vein to the right hepatic vein. By shunting portal blood into the hepatic venous outflow, pressure in the portal system drops, helping control complications like variceal bleeding and refractory ascites. It does not involve arterial blood, and it does not connect the left portal vein to the left hepatic artery or any hepatic artery to a hepatic vein.

The main idea is creating a direct channel between the portal venous system and the hepatic venous system inside the liver to reduce portal hypertension. This is done through a transjugular approach, placing a stent to connect a branch of the portal vein to a hepatic vein, most often the right portal vein to the right hepatic vein. By shunting portal blood into the hepatic venous outflow, pressure in the portal system drops, helping control complications like variceal bleeding and refractory ascites. It does not involve arterial blood, and it does not connect the left portal vein to the left hepatic artery or any hepatic artery to a hepatic vein.