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Bleeding

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Worsening liver function due to the underlying liver disease can cause a decrease in hepatic production of clotting factors. Prior to TIPS insertion, assessment of coagulation panel should be performed and any bleeding diathesis corrected. Most patients who will experience bleeding as a complication to their TIPS insertion do so perioperatively, and it is not a common presentation to the emergency department.

Emergency Management of the Hi-Tech Patient in Acute and Critical Care

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