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Before receiving either of these procedures for portal hypertension, the following tests may be performed to determine the extent and severity of your condition: Evaluation of your medical history A physical exam Blood tests Angiogram (an X-ray test that takes pictures of the blood flow within a particular artery) Ultrasound Endoscopy Before either the TIPS or DSRS procedure, your doctor may ask you to have other tests, which may include an electrocardiogram (EKG) (a test that records the electrical activity of your heart), chest X-ray, or additional blood tests

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