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Vascular Malformations Smith 12-12-2012 - Inova Health System

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2/8/20<strong>12</strong><br />

Arteriovenous Fistulas<br />

• Distinguished from AVMs by presence of<br />

direct, high flow fistula between artery &<br />

vein<br />

– Dural AVF (dAVF)<br />

– Cavernous carotid fistula (CCF)<br />

– Vein of Galen malformation<br />

dAVF<br />

• Arteriovenous shunts within<br />

dura<br />

• 10-15% of intracranial<br />

vascular malformations<br />

• 2 types:<br />

– Adult: Tiny vessels in wall of<br />

thrombosed dural venous sinus<br />

typically middle aged & older<br />

patients<br />

• Usually acquired - trauma<br />

– Infantile: Multiple high-flow AVshunts<br />

involving several<br />

thrombosed dural sinuses<br />

SSFSE<br />

<br />

dAVF<br />

T1<br />

SSFSE<br />

T1<br />

7

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