Comparing Ascites Relief In Two Standard Treatments: Large Volume Paracentesis Vs. Early Tips Using Viatorr Controlled Expansion Stents

Inclusion Criteria: * Males and females \> 18 years of age at time of procedure * First de novo TIPS placement * Patent internal or external jugular vein * Willing to provide the hepatology service information for follow up * No known diagnosis of hypercoagulopathy * No portal vein thrombosis * No malignancy (must be a definite diagnosis) * Patient must provide written informed consent * Proper clinical indication of TIPS based on American Association for the Study of Liver Diseases (AASLD) guidelines * Recurrent ascites necessitating at least 2 large volume paracenteses performed within a minimum interval of 3 weeks Exclusion Criteria: * Age \<18 * LVP \> 6 times in 2 months * Liver failure (Child Pugh \> 12) * Cardiac failure * No right jugular venous access * Absolute TIPS contraindications (e.g. right heart failure, severe encephalopathy, liver failure, pregnant (if possible)).