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Background, Motivation and Objective The creation of transjugular intrahepatic portosystemic shunt (TIPS) has been used in the management of the severe consequences of portal hypertension (PHTN) to control refractory acute variceal hemorrhage and intractable ascites in late stage liver diseases. It is important to monitor TIPS function in effectively decompressing portal vein pressure after TIPS placement. Therefore, non-invasive techniques for evaluating TIPS function are preferred since portosystemic pressure gradient (PPG) is too invasive. The aim of this study was to assess the ability of spleen ultrasound shear wave elastography in monitoring TIPS function following TIPS placement.