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Multivariable Cox regression analysis confirmed that higher SS value ( 0.001), LS value ( = 0.008), diameter of shunt ( = 0.001), and older age ( 0.001) were independent prognostic factors of survival after TIPS. The risk of death rose 57.440-fold for each SS unit (m/s) increase. SS was also correlated with liver failure after TIPS. ROC analysis showed that the best SS cutoff value was 3.60 m/s for predicting survival, with a sensitivity of 54.2% and specificity of 90.8%. The SS value determined by pSWE in cirrh