Procedural and shunt-related complications and mortality of the transjugular intrahepatic portosystemic shunt (TIPSS). 2015 63:743–752.īettinger D, Schultheiss M, Boettler T, Muljono M, Thimme R, Rössle M. Expanding consensus in portal hypertension: report of the Baveno VI Consensus Workshop: stratifying risk and individualizing care for portal hypertension. The MELD 3.0 was significantly superior to the MELD, MELD-Na and FIPS scores in predicting mortality in patients with cirrhosis after TIPS creation. The Child–Pugh score could stratify patients defined as low risk by MELD 3.0 (log-rank P < 0.001). The MELD 3.0 could stratify patients with Child–Pugh grade B (log-rank P < 0.001). A MELD 3.0 of 14 could be used as a cut-off point for discriminating between high- and low-risk patients. The Hosmer–Lemeshow test was used to test the goodness of fit of all models and the calibration plot was drawn. The prognostic value of the MELD 3.0, MELD, MELD-Na, Child–Pugh and FIPS score was assessed using Harrell’s C concordance index (c-index). MethodsĪ total of 855 consecutive patients with cirrhosis from December 2011 to October 2019 who underwent TIPS placement were retrospectively reviewed.

To validate the Model for End-Stage Liver Disease (MELD) 3.0 in predicting mortality in patients with cirrhosis after TIPS creation. The selection of appropriate candidates for transjugular intrahepatic portosystemic shunt (TIPS) is important and challenging.

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