Dear Frederike,
Does liver biopsy show any form of porto-sinusoidal vascular disease? Nodular regenerative hyperplasia?
If the liver function is fine, there is basically no need for OLT, because TIPS will decrease portal pressure, however under the condition that the splanchnic veins are open or recanalization will be possible.
Have the advice of a competent interventional radiologist in this case.
Andrea De Gottardi
USI, Lugano, South Switzerland