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The tips procedure has proven to have good outcomes, with a 78% five-12 months transplant-free survival rate. If all of the hepatic veins are blocked, the portal vein may be approached through the intrahepatic part of inferior vena cava, a process known as DIPS (direct intrahepatic portocaval shunt). Segmental occlusions of the inferior vena cava or portal vein could be treated with percutaneous transluminal angioplasty by which a balloon is passed through a guidewire to the site of the venous o...
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