<unk>  encephalopathy
Most common complication
Presents as extreme sleep disturbance, altered mental status, and coma
Hyperammonemia
Can be precipitated by many factors including increased protein intake, infection, gastrointestinal bleed, poor medication compliance, and dehydration
Occurs approximately 6 weeks or more after<unk> 
Treatment is medical management – lactulose, neomycin, rifaximin, protein restriction
Most common complication
Presents as extreme sleep disturbance, altered mental status, and coma
Hyperammonemia
Can be precipitated by many factors including increased protein intake, infection, gastrointestinal bleed, poor medication compliance, and dehydration
Occurs approximately 6 weeks or more after<unk> 
Treatment is medical management – lactulose, neomycin, rifaximin, protein restriction<unk>  thrombosis
~4 weeks after<unk> 
Doppler sonography or angiography shows thrombus and/or occlusion
Treatment: anticoagulation, thrombolysis, or thrombectomy
~4 weeks after<unk> 
Doppler sonography or angiography shows thrombus and/or occlusion
Treatment: anticoagulation, thrombolysis, or thrombectomy<unk>  stenosis
May present with recurrent variceal bleeding or worsening portal hypertension
~3 months to 2 years after<unk> 
Angiography is the gold standard for diagnosis
Treatment is dilation or placement of new or additional stents
May present with recurrent variceal bleeding or worsening portal hypertension
~3 months to 2 years after<unk> 
Angiography is the gold standard for diagnosis
Treatment is dilation or placement of new or additional stents<unk> -associated hemolysis
Presentation includes anemia, increased bilirubin, and increased reticulocyte count
<1-2 weeks after<unk> 
Self-limiting and resolves within 8-12 weeks
Presentation includes anemia, increased bilirubin, and increased reticulocyte count
<1-2 weeks after<unk> 
Self-limiting and resolves within 8-12 weeks
Infection
Fever and bacteremia
Occurs within weeks to months after<unk> 
Doppler sonography shows vegetations or venous thrombus
Treatment is intravenous antibiotics
Fever and bacteremia
Occurs within weeks to months after<unk> 
Doppler sonography shows vegetations or venous thrombus
Treatment is intravenous antibiotics
Intraperitoneal hemorrhage
Seen primarily during the immediate post-procedure period
Occurs due to injury to nearby vasculature during<unk> 
Rare occurrence
Seen primarily during the immediate post-procedure period
Occurs due to injury to nearby vasculature during<unk> 
Rare occurrence
Stent migration
Stent may travel into the Inferior Vena Cava
Most serious complication is migration into the heart
ECG, Doppler sonography, and echocardiogram helpful for diagnosis
Treatment is surgery or Interventional Radiology for retrieval
Stent may travel into the Inferior Vena Cava
Most serious complication is migration into the heart
ECG, Doppler sonography, and echocardiogram helpful for diagnosis
Treatment is surgery or Interventional Radiology for retrieval
Transjugular intrahepatic portosystemic shunt
Hemodialysis/Hemoperfusion
Thrombolytics
Iridodialysis
Unfractionated heparin reversal
Extracorporeal membrane oxygenation
Cerumen removal
Dialysis catheter placement