Transjugular intrahepatic portosystemic shunts and portal hypertension-related complications

Table 1 Contraindications to transjugular intrahepatic portosystemic shunts placement according to current American Association for the Study of Liver Diseases guidelines

Absolute	Relative
Congestive heart failure	Hepatoma especially if central
Multiple hepatic cysts	Obstruction of all hepatic veins
Uncontrolled systemic infection or sepsis	Portal vein thrombosis
Unrelieved biliary obstruction	Severe coagulopathy (INR > 5)
Severe pulmonary hypertension	Thrombocytopenia of < 20000/cm3
	Moderate pulmonary hypertension