TIPS, or transjugular intrahepatic portosystemic shunt, is an important procedure used in the management of complications related to portal hypertension. In this episode, we review what TIPS is, how it works, why it is performed, and the major clinical considerations surrounding TIPS placement. Topics covered include: • What TIPS is and what the procedure creates • Portal hypertension and why reducing portal pressure matters • The anatomy of the portal venous and hepatic venous systems • How a portosystemic shunt changes blood flow • Common indications for TIPS • Refractory ascites • Variceal bleeding • Hepatic hydrothorax • TIPS contraindications and patient selection • Hepatic encephalopathy after TIPS • Liver failure and cardiac complications • Practical clinical considerations before and after TIPS Watch the full video on YouTube: https://www.youtube.com/watch?v=7wZPfIofnwo 📚 Support WhiteBoard Medicine on Patreon https://www.patreon.com/WhiteBoardMedicine Take your learning beyond the podcast with access to: • Comprehensive Study Guides • Bedside One-Pagers • Clinical Reviews • Mini-Courses • Practice Questions • Ad-Free Videos • Structured Topic Collections Your support helps us continue creating high-yield WhiteBoard Medicine content for YouTube, podcasts, and beyond. ⚠️ Educational Disclaimer: This content is intended for educational purposes only and should not be used as a substitute for clinical judgment, institutional protocols, specialist consultation, or individualized patient care. Full disclaimer: https://whiteboardmedicine.com/disclaimer

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