Hepatic arterio-venous shunt(HAVS) is a sort of usual pathologic phenomena accompanied by hepatocellular carcinoma,cirrhosis and so on,having significant influence on the therapy and prognosis of HCC.It is very important to have an looking in-depth sight,making a prompt correct diagnosis and giving a proper active therapy for HAVS.The authors reviewed in detail concerning the caused mechanism,imaging-diagnosis and interventional procedures of HAVS so as to get an accordance on it.