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To look for the influence on treatment performance of three various techniques of portal vein cannulation during GUIDELINES placement. Health files of clients whom underwent TIPS between 2005 and 2019 were evaluated. Clients were grouped predicated on portal vein accessibility method, the following Group 1 (G1) transabdominal ultrasound-guided; Group 2 (G2) fluoroscopic guidance with wedged-hepatic portography; Group 3 (G3) percutaneous portal vein guidewire placement for fluoro