How does VExUS evaluation differ in a patient with a transjugular intrahepatic portosystemic shunt (TIPS)?

This is a very interesting question, and I don't think I have ever tried to look at VExUS in a patient with a TIPS before! Although, based on what I understand about this study, I would be cautious about relying on the original VExUS algorithm that incorporates hepatic vein, portal vein, and intrare...