The most common complication requiring management after transjugular intrahepatic portosystemic shunt (TIPS) creation is:

• A Hemolysis
• B Radiation-induced liver injury
• C Stent infection (TIPSitis)
• D Post-procedure hepatic encephalopathy ✓

Explanation

Diversion of portal blood away from the liver into the systemic circulation bypasses hepatic clearance of gut-derived nitrogenous waste, producing hepatic encephalopathy in roughly 20 to 30 percent of patients. It is managed initially with lactulose and dietary protein adjustment. Stent occlusion or dysfunction was historically common but is markedly reduced by modern polytetrafluoroethylene-covered stent grafts.

Reference: Grainger and Allison's Diagnostic Radiology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.