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The most common cause of portal hypertension is liver cirrhosis in Western countries. Two main indications of transjugular intrahepatic portosystemic shunt are validated by randomised controlled studies in patients with cirrhosis and variceal bleeding (salvage transjugular intrahepatic portosystemic shunt, early transjugular intrahepatic portosystemic shunt or rebleeding despite an optimal secondary prophylaxis) or refractory ascites. Careful selection of the patients is crucial in order to prevent posttransjugular intrahepatic portosystemic shunt complications, including liver failure, posttransjugular intrahepatic portosystemic shunt encephalopathy occurrence and cardiac decompensation, for a better long\u2010term outcome. In this review, we will discuss transjugular intrahepatic portosystemic shunt indications in 2020 in patients with cirrhosis and portal hypertension, with a special focus on variceal bleeding and refractory ascites. Then, we will describe transjugular intrahepatic portosystemic shunt\u2010related complications, the contraindications and the current knowledge on patient's selection.<\/jats:p>","DOI":"10.1177\/2050640620952637","type":"journal-article","created":{"date-parts":[[2020,8,21]],"date-time":"2020-08-21T06:13:43Z","timestamp":1597990423000},"page":"203-208","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":40,"title":["Transjugular intrahepatic portosystemic shunt in patients with cirrhosis: Indications and posttransjugular intrahepatic portosystemic shunt complications in 2020"],"prefix":"10.1002","volume":"9","author":[{"given":"Adelina","family":"Horhat","sequence":"first","affiliation":[{"name":"Hepato\u2010Gastroenterology Regional Institute  Cluj\u2010Napoca 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