Propensity-matched comparison of transjugular intrahepatic portosystemic shunt placement techniques: Intracardiac echocardiography (ICE) versus fluoroscopic guidance.

•TIPS placement has become an important treatment option to reduce the portosystemic gradient in patients with portal hypertension.•Conventional TIPS (cTIPS) placement technique relies upon fluoroscopic-guided needle passes.•ICE-guided TIPS (iTIPS) provides direct visualization of the portal vein and allows operators to visualize the needle path used to direct access.•iTIPS resulted in significantly reduced radiation dose and contrast volume with no difference in overall procedure time.