Severe portal hypertension (PH) and maintained synthetic and biliary function are common in children with chronic liver disease. These youngsters were treated at our hospital with transjugular intrahepatic portosystemic shunts (TIPS). The purpose of this study was to assess the long-term patency of TIPS implanted in young patients with PH. Retrospective study of children who had TIPS in the previous 15 years. Researchers compared cirrhotic PH patients to noncirrhotic PH patients, as well as a historical cohort of children who received a surgical portosystemic shunt. Long-term shunt patency was assessed using a Kaplan-Meier analysis. Twenty-nine individuals were studied, and five TIPS were implanted following split liver transplantation. Primary patency rates at 6 months, 1 year, 2 years, and 4 years were 91 percent, 83%, 60%, and 46%, respectively. At the most recent follow-up, secondary patency was 100%. At a median follow-up of 12.5 years, the patency rate of the historical cohort of patients who received a surgical portosystemic shunt was 26 of 31.

TIPS has a high mid-term patency rate, especially when checked and updated. TIPS should not be viewed just as a bridge to liver transplantation in this scenario, owing to its excellent clinical success rate and less invasive technique.