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. 2024 Jun 28;23(1):e0176. doi: 10.1097/CLD.0000000000000176

FIGURE 1.

FIGURE 1

Management of acute variceal bleeding. (A) Patients with Child-Turcotte-Pugh class C 10–13 points or Child-Turcotte-Pugh class B 8–9 points with active bleeding are considered to be at high risk for the failure of standard therapy. (B) Salvage TIPS: TIPS placed in patients with uncontrolled (ongoing) bleeding despite medical and endoscopic therapy. (C) Pre-emptive TIPS: TIPS placed pre-emptively within 72 hours of the hemorrhage, in patients with hemorrhage controlled with medical/endoscopic therapy and at high risk for failure of standard therapy. (D) Rescue TIPS: TIPS placed for early (within 5 d) recurrence of variceal hemorrhage. Abbreviation: PRBC, packed red blood cell.