How do you decide between proceeding with elective TIPS versus delaying for right-heart catheterization (and possible pulmonary hypertension therapy) when pre-TIPS TTE is borderline (e.g., mildly elevated TR velocity with preserved RV function) but portal decompression is clinically needed?

Answer from: at Academic Institution

Can measure the pulmonary pressure at the time of TIPS with a proviso not to proceed if there is pulmonary hypertension.