A 63-year-old male with decompensated cirrhosis (alcohol-related liver disease; Child-Turcotte-Pugh B9, MELD-Na 12) is managed at your tertiary care hospital’s hepatology outpatient clinic and is undergoing his 3^rd large volume paracentesis (LVP); the first paracentesis was 6 months ago and occurred despite long-term abstinence. The patient is on the highest tolerated dose of spironolactone (200mg/d) and furosemide (80mg/d) (previous episode of diuretic-induced hyponatremia) and currently receiving carvedilol for primary prophylaxis of variceal bleeding. Moreover, the patient is on edoxaban for a chronic partial (i.e., >50% of original vessel lumen) thrombosis of the main trunk of the portal vein, which had been diagnosed before the occurrence of grade 3 ascites, and remained stable on subsequent imaging. Besides recurrent ascites, there are/were no other decompensating events.