CAMRT Radiography Practice Exam

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Which of the following best summarizes the purpose of a TIPS procedure?

To allow normal blood flow through the liver
To increase blood pressure in the portal vein
To decrease portal hypertension and variceal bleeding
To enhance liver function

The correct answer is: To decrease portal hypertension and variceal bleeding

The TIPS (Transjugular Intrahepatic Portosystemic Shunt) procedure is primarily designed to alleviate complications arising from portal hypertension, specifically by creating a channel between the portal vein and hepatic veins. This helps reduce the high blood pressure in the portal system, which can lead to serious conditions such as variceal bleeding—an emergency situation where dilated veins (varices) in the esophagus or stomach rupture due to excessive pressure. By decreasing portal hypertension, the TIPS procedure reduces the risk of varices bleeding, making it a critical intervention for patients with liver disease who are at risk for these complications. While enhancing liver function, allowing normal blood flow, and increasing blood pressure in the portal vein may occur as indirect effects, the primary goal of the TIPS procedure is focused on mitigating the risks associated with elevated portal pressure and its sequelae.