Transjugular intrahepatic portosystemic shunt, commonly known as TIPS, is a relatively effective interventional procedure for the treatment of patients with portal hypertension. This procedure is minimally invasive and the specific steps are as follows: 1. Routine preoperative preparation, assessment of the patient’s biochemical indicators, imaging, and advance formulation of the surgical approach; 2. The specific procedure involves first puncturing the internal jugular vein, generally choosing the right jugular vein puncture, placing a working sheath, feeding a guidewire and catheter through the sheath, and the guidewire and catheter cooperating through the superior vena cava and into the branch hepatic veins; generally choosing the The right hepatic vein is then angiographed to clarify the course of the hepatic vein, and then indirect portal vein angiography is performed to analyze the anatomical location of both, to develop a puncture channel, and then the puncture kit is sent to the hepatic vein to perform intrahepatic portal vein puncture according to the predetermined puncture channel; after successful puncture, the shunt balloon is dilated; in patients with coronary varices, coronary vein embolization can be performed at the same time, and finally a If the patient has coronary varices, coronary vein embolization can be performed at the same time, and finally a laminated stent is used to prevent bleeding and stenosis of the puncture tract; 3. Finally, compression of the jugular puncture site is performed, and after the compression is completed, the patient can generally get out of bed after 24 hours.