Joining us in this episode are Steven Sauk, MD, MS, Nassir Rostambeigi, MD, MPH. Featuring physicians Steven Sauk, MD, MS, Nassir Rostambeigi, MD, MPH. Beyond refractory ascites and variceal bleeds, the TIPS procedure has evolved to address new indications over the past two decades, including acute and chronic mesenteric venous ischemia, Budd-Chiari Syndrome, hepatorenal syndrome, pre-liver transplant preparation, and palliative care for cancer-related complications. This podcast will feature a candid discussion among experienced interventional radiologists about case selection, the procedures, pitfalls encountered, and future directions.