Transjugular intrahepatic portosystemic shunt is a procedure where a doctor puts a stent in your portal vein to connect it to the hepatic vein in the liver. 

The portal vein carries blood from other organs to your liver. You can have high blood pressure in your portal vein, which increases your risk of internal bleeding and other serious problems. TIPS allows blood to flow from the portal vein to another vein, reducing the pressure in the portal vein.

TIPS is performed by an interventional radiologist, who uses guided imagery to connect the two veins and place a stent to keep the connection open.