This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
Most common Complication of TIPSS procedure 
Select and explain. 
A. Heart failure, B. Hepatic Encephalopathy, C. Thrombosis, D. Recurrent Variceal bleed
B: Hepatic Encephalopathy
Answer: B: Hepatic Encephalopathy 
Explanation: Since systemic blood is shunted toxins ( NH3) travel to brain
causing encephalopathy. Hence TIPSS is contra indicated in
encephalopathy patients.