No abstract

po0.001). In the TIPS for variceal bleeding subset, variceal occlusion significantly decreased recurrent variceal hemorrhage rates (bTIPS 25.9%, bEMB 7.7%, bSEM 9.5%, p ¼ 0.04; bEMB vs bTIPS: OR 0.24, p ¼ 0.07; bSEM vs bTIPS: OR 0.30, p ¼ 0.02). bEMB and bSEM did not differ in rebleeding rates (OR 1.26, p ¼ 0.78). Rates of reintervention for bleeding did not significantly differ (bTIPS 5.5%, bEMB 0.0%, bSEM 4.8%, p ¼ 0.74). Conclusions: Variceal occlusion after TIPS placement reduces rebleeding risk in patients undergoing TIPS for variceal bleeding. Sclerosis may not provide additive benefit over embolization. Analysis is limited by low adverse event rate.