BACKGROUND Even with stent patency following transjugular intrahepatic portosystemic shunt (TIPS) placement, some patients still experience recurrent variceal bleeding. AIM To identify risk factors and develop a predictive model for rebleeding in patients with patent TIPS stents. METHODS Cirrhotic patients (n = 647) undergoing TIPS (2010-2024) were retrospectively analyzed and grouped by rebleeding status. Propensity score matching (1:3) was performed for age, sex, and model for end-stage liver