Innovation in direct intrahepatic portosystemic shunt; a developing country experience Authors Muhammad Misbah Tahir Department of Radiology, Liaquat National Hospital and Medical College, Karachi, Pakistan Muhammad Ali Department of Radiology, Liaquat National Hospital and Medical College, Karachi, Pakistan Lubna Kamani Department of Gastroenterology, Liaquat National Hospital and Medical College, Karachi, Pakistan Tauqeer Shaikh Department of Gastroenterology, Liaquat National Hospital and Medical College, Karachi, Pakistan Danial Khalid Siddiqui Department of Radiology, Liaquat National Hospital and Medical College, Karachi, Pakistan Khalid Mustafa Department of Radiology, Liaquat National Hospital and Medical College, Karachi, Pakistan DOI: https://doi.org/10.47391/JPMA.5277 Abstract Anticoagulants are the first-line treatment option for patients with Budd-Chiari syndrome (BCS); however, intervention is required when this fails. Although, the ultimate treatment is liver transplant, other radiological procedures are for the management of the disease and bridge to definitive therapy. TIPS (trans jugular intrahepatic portosystemic shunt) is a method used by interventional radiologists to create a shunt between portal vein and hepatic vein. At times it is technically not possible, in such cases, direct intrahepatic portosystemic shunt (DIPS) is performed. This patient underwent a successful DIPS procedure for BCS along with balloon dilatation (venoplasty) for inferior vena cava (IVC) stenosis. Keywords: Budd-Chiari syndrome (BCS), Trans jugular intrahepatic portosystemic shunt (TIPS), direct intrahepatic portosystemic shunt (DIPS), inferior vena cava (IVC). Downloads Full Text Article Published 2023-02-15 How to Cite Muhammad Misbah Tahir, Muhammad Ali, Lubna Kamani, Tauqeer Shaikh, Danial Khalid Siddiqui, & Khalid Mustafa. (2023). Innovation in direct intrahepatic portosystemic shunt; a developing country experience. Journal of the Pakistan Medical Association, 73(3), 684–686. https://doi.org/10.47391/JPMA.5277 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 73 No. 3 (2023): March Section Case Report