What's the investigation of choice and treatment for a spontaneous portal vein arterialization in a non-liver transplant settings?

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Ashwin Rammohan

Conventional Angiogram will be both diagnostic and therapeutic, but should be done only if the suspicion is high on CTangio.

Alexander Oberhuber

Selective angio of the celiac trunk or better superselective angio of the liver artery (a. hepatica propria) to identify suspicious av fistula. Therapy (embolisation/stentgrafting) can be done I same session, but only if there is a medical indication.