What MELD score is contraindication to TIPS?

MELD >18–20 is associated with significantly increased post-TIPS mortality. MELD >25–30 is often considered high-risk, though urgent hemostatic TIPS may still be performed.

What are absolute contraindications to TIPS?

Heart failure, pulmonary hypertension, polycystic liver disease, obstructive biliary dilation, and uncontrolled systemic infection or sepsis are absolute contraindications.

How does TIPS affect encephalopathy risk?

TIPS shunts portal blood directly to systemic circulation, bypassing hepatic metabolism. Increases hepatic encephalopathy in 25–35% of patients, particularly those with prior encephalopathy.

TIPS Procedural Risk Score Calculator

Estimate post-TIPS mortality risk using pre-procedural MELD score, Child-Pugh class, and indication (variceal hemorrhage vs refractory ascites). MELD >18 doubles procedural mortality risk.

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TIPS Procedural Risk Score Calculator

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Frequently Asked Questions

What MELD score is contraindication to TIPS?

What are absolute contraindications to TIPS?

How does TIPS affect encephalopathy risk?