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The Dural AV-Fistula (DAVF), the Most Frequent Acquired Vascular Malformation of the Central Nervous System (CNS)

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Abstract

Acquired arteriovenous malformations, such as is the case with dural arteriovenous fistulae (DAVF), are the consequence of a pathological new arterial ingrowth into venous spaces that reaches directly the venous lumen, without interposition of a capillary network, thereby creating an AV-shunt.

The following concise text will provide elements in regards to diagnosis, indication for treatment discussion and choice of endovascular treatment (EVT) method.

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References

  1. Comerota AJ, Oostra C, Fayad Z, Gunning W, Henke P, Luke C, Lynn A, Lurie F. A histological and functional description of the tissue causing chronic postthrombotic venous obstruction. Thromb Res. 2015;135(5):882–7.

    Article  CAS  PubMed  Google Scholar 

  2. Evans CE, Grover SP, Saha P, Humphries J, Kim JW, Modarai B, Smith A. Suppression of angiogenic response in local vein wall is associated with reduced thrombus resolution. Thromb Res. 2014;134(3):682–5.

    Article  CAS  PubMed  Google Scholar 

  3. Li Q, Zhang Q, Huang QH, Fang YB, Zhang ZL, Xu Y, Liu JM. A pivotal role of the vascular endothelial growth factor signaling pathway in the formation of venous hypertension-induced dural arteriovenous fistulas. Mol Med Rep. 2014;9(5):1551–8.

    PubMed Central  CAS  PubMed  Google Scholar 

  4. Lim CS, Kiriakidis S, Sandison A, Paleolog EM, Davies AH. Hypoxia-inducible factor pathway and diseases of the vascular wall. J Vasc Surg. 2013;58(1):219–30.

    Article  PubMed  Google Scholar 

  5. Varnagy D, Labropoulos N. The issue of spontaneous arteriovenous fistulae after superficial thrombophlebitis, endovenous ablations, and deep vein thrombosis: an unusual but predictable finding. Perspect Vasc Surg Endovasc Ther. 2006;18(3):247–50.

    Article  PubMed  Google Scholar 

  6. Waltham M, Burnand KG, Collins M, Smith A. Vascular endothelial growth factor and basic fibroblast growth factor are found in resolving venous thrombi. J Vasc Surg. 2000;32(5):988–96.

    Article  CAS  PubMed  Google Scholar 

  7. Houser OW, Baker HL Jr, Rhoton AL Jr, Okazaki H. Intracranial dural arteriovenous malformations. Radiology. 1972;105:55–64.

    Article  CAS  PubMed  Google Scholar 

  8. Djindjian R, Merland JJ. Super selective angiography of external carotid artery. New York: Springer-Verlag; 1977. pp. 606–28.

    Google Scholar 

  9. Houser OW, Campbell JK, Campbell RJ, Sundt TM Jr. Arteriovenous malformations affecting the transverse dural venous—an acquired lesion. Mayo Clin Proc. 1979;54:651–61.

    CAS  PubMed  Google Scholar 

  10. Borden JA, Wu JK, Shucart WA. A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg. 1995;82:166–79.

    Article  CAS  PubMed  Google Scholar 

  11. Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, Chiras J, Merland JJ. Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology. 1995;194(3):671–80.

    Article  CAS  PubMed  Google Scholar 

  12. Cognard C, Casaco A, Toevi M, Houdart E, Chiras J, Merland JJ. Dural arteriovenous fistulas as a cause of intracranial hypertension due to impairment of cranial venous outflow. J Neurol Neurosurg Psychiatry. 1998;65:308–16.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  13. Luciani A, Houdart E, Mounayer C, Saint Maurice JP, Merland JJ. Spontaneous closure of dural arteriovenous fistulas: report of three cases and review of the literature. AJNR Am J Neuroradiol. 2001;22:992–6.

    CAS  PubMed  Google Scholar 

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Correspondence to I. Wanke.

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Wanke, I., Rüfenacht, D. The Dural AV-Fistula (DAVF), the Most Frequent Acquired Vascular Malformation of the Central Nervous System (CNS). Clin Neuroradiol 25 (Suppl 2), 325–332 (2015). https://doi.org/10.1007/s00062-015-0449-0

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  • DOI: https://doi.org/10.1007/s00062-015-0449-0

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