An article caught my eye, which I suppose may be of interest due to the peculiarities of the US healthcare system

In Europe, it hasn't been necessary to be on the verge of achieving the WHO elimination goals

The key may be in the selection. There are so many variables (types of surgery, types of decompensation) that it is impossible to address from a prospective study at this point in time. It may be worthwhile to have a registry to help glean what is futile versus what is possible.

Good point 😂

Interesting arguments, although the 4th would make for a good debate if you add the guys from the Clinic Hospital of Barcelona and the Ramón y Cajal of Madrid to the discussion 😉

Out of curiosity, what were the arguments of @brettefortune.bsky.social?

Indeed, in the real world, the ability to place a TIPS at the most appropriate time for the patient is as important as selecting the patient who can benefit most from it. Two conditions that are rarely met ...