Kalo, Eric, Holmes, Jacinta, Bhat, Purnima, Hardikar, Winita, Jagarlamudi, Nishita, Ma, Wai See, Santhakumar, Cositha, Read, Scott, Braund, Alicia, Chen, Fei Wen, Gupta, Rohit, Collins, Kate, Dev, Anouk, Grieve, John, Koukounaras, Jim, Lalloo, Shivendra, Nguyen, Vi, Mitchell, Tim, Mott, Nigel, Raj, Ashok, Ranatunga, Dinesh, Tallis, Caroline, Tse, Edmund, Valaydon, Zina, Robertson, Marcus, De Boo, Diederick, Gonsalkorala, Enoka, Muddassir, Rashid, Lam, Thao, Tibballs, Jonathan, Mitchell, John, Fox, Penny, Doyle, Adam, Karamatic, Rozemary, Macquillan, Gerry, Rogan, Christopher, George, Jacob, Shackel, Nick, Roberts, Stuart, Olynyk, John, Leggett, Barbara, Sood, Siddharth, Strasser, Simone, Popuri, Radha, Lubel, John, Levy, Miriam, Li, Jane, O'Beirne, James, Majumdar, Avik, Ahlenstiel, Golo, and Gastroenetrological Society of Australia (2026) Australian best practice recommendations for transjugular intrahepatic portosystemic shunt (TIPS) in portal hypertension: a consensus statement. Hepatology International, 20. pp. 215-239.

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Abstract

Background: Transjugular intrahepatic portosystemic shunt (TIPS) is one of the preferred interventional radiology techniques for reducing clinically significant portal pressures in patients with cirrhosis and complications from portal hypertension when pharmacological therapy or endoscopic interventions have failed or been insufficient. Recent advances in TIPS procedural techniques and stent technology, along with emerging indications for TIPS, warrant a review of current practices and establishment of consensus recommendations in Australia, where TIPS remains underused. This TIPS consensus statement is the first such guideline in Australia. It outlines 69 evidence-based practice recommendations and the evidence underlying them. The recommendations are intended for use by health care professionals in Australia who manage adult patients with portal hypertensive complications of liver disease, where such patients are being considered for TIPS implantation, including pre-, peri- and post-procedural aspects of care.

Methods and results: This consensus statement has been developed by specialists in hepatology and interventional radiology, with input from specialists in cardiology, hematology and primary care, including medical practitioners, nurses and clinical researchers. The statement deals with four domains related to TIPS: preparation for TIPS, patient selection and pre-TIPS workup; best procedural practice; postoperative care and follow-up; and indications for TIPS. Two rounds of a modified Delphi process were used to reach consensus on the recommendations.

Conclusions: Adoption of and adherence to the evidence-based recommendations in this consensus statement should reduce clinical variation. Ultimately, this should lead to system-level improvements in quality of care and outcomes for patients undergoing TIPS implantation. These recommendations summarize the complete document, available at https://www.gesa.org.au/resources/.

Item ID:	90947
Item Type:	Article (Research - C1)
ISSN:	1936-0541
Keywords:	Portal hypertension, TIPS, hepatology, Australia, cirrhosis
Copyright Information:	© The Author(s) 2026. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Date Deposited:	27 Jul 2026 03:30
FoR Codes:	32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320209 Gastroenterology and hepatology @ 70% 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320222 Radiology and organ imaging @ 20% 42 HEALTH SCIENCES > 4203 Health services and systems > 420399 Health services and systems not elsewhere classified @ 10%
SEO Codes:	20 HEALTH > 2001 Clinical health > 200101 Diagnosis of human diseases and conditions @ 20% 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 60% 20 HEALTH > 2001 Clinical health > 200104 Prevention of human diseases and conditions @ 20%
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