Research communication shows reduced spontaneous portosystemic shunts after TIPS, indicating improved survival rates.
We evaluated the dynamics of spontaneous portosystemic shunts (SPSS) after transjugular intrahepatic portosystemic shunt (TIPS). Ninety patients with covered TIPS placement and contrast‐enhanced CT scans before and after TIPS were included. Total SPSS area and total shunt area (including TIPS) were assessed. Median SPSS area (67.2–15.7 mm 2 ; p < 0.001) decreased after TIPS, while total shunt area remained unchanged (67.2–75.8 mm 2 ; p = 0.170). Relative SPSS area decrease was an independent protective factor for mortality (asHR: 0.19; 95% CI: 0.04–0.88; p = 0.034). In conclusion, SPSS decrease after TIPS and relative SPSS area change is independently linked to survival, while total shunt area remains unaltered.
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Hintersteininger et al. (2025) studied this question.
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