Predictors and Management of Hepatic Encephalopathy in Patients with Transjugular Intrahepatic Portosystemic Shunt

Introduction: Portosystemic encephalopathy (PSE) is a well-known sequela of transjugular intrahepatic portosystemic shunt (TIPS) placement due to increased delivery of neurotoxins from the portal to systemic circulation. Many studies have described clinical and laboratory prognosticators, though their reliability in predicting PSE remains to be determined. When encephalopathy becomes refractory to medical management, radiointerventional...