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Skip to content Skip to search Skip to footer Neurosurgery Open Menu Back Close Menu Search for: Search Close Search AboutAbout News Diversity, Equity &＃038; Inclusion Contact Us Giving PeoplePeople Clinical Faculty Research Faculty Affiliated Faculty Fellows Residents Advanced Practice Providers Administration Patient CarePatient Care Aneurysms/Vascular Brain Tumors Chiari Malformation / Syringomyelia Epilepsy Hydrocephalus Movement Disorders Pain Pediatrics Peripheral Nerve Spine ResearchResearch Laboratories Clinical TrialsClinical Trials Trials with Outpatient EnrollmentTrials with Outpatient Enrollment Outpatient – Pediatric Outpatient-Spine and Peripheral Nerve Outpatient – Epilepsy and Functional Outpatient-Vascular Outpatient-Oncology Trials with Inpatient EnrollmentTrials with Inpatient Enrollment Inpatient – Oncology Inpatient – Vascular Inpatient- Pediatric Inpatient-Spine and Peripheral Nerve NeurotechnologyNeurotechnology Center for Innovation in Neuroscience and Technology (CINT) NEURO360 EducationEducation Residency Program Fellowship ProgramsFellowship Programs Advanced Surgical Neuro-oncology Fellowship Endovascular Surgical Neuroradiology Fellowship Pediatric Neurosurgery Fellowship Neurosurgical Peripheral Nerve and Spine Fellowship Neurosurgical Complex Spine Fellowship Stereotactic, Functional and Epilepsy Surgery Fellowship Third-year Clerkship Diversity Sub-internship Funding Medical Student Research Opportunities Fourth-year Sub-internship Learning Environment Life Outside the Hospital Join Our Team AppointmentsAppointments Patient imaging Patient forms Open Search Arteriovenous Fistula What are Arteriovenous fistulas (AVFs)? Call 314-362-3577 for Patient Appointments Arteriovenous fistulas are abnormal connections between blood vessels in the coverings of the brain. Although some rare AVFs appear in newborns, this type of abnormality typically develops as people grow older and is not considered hereditary (passed on through families) or congenital (present at birth). Our Experts Locations Why rely on Washington University experts for AVF treatment? Washington University cerebrovascular surgeons work as part of a multidisciplinary team to offer treatment for arteriovenous fistulas at the Barnes-Jewish Hospital Stroke and Cerebrovascular Center.  The center is among the most experienced in managing brain vascular malformations and receives physician referrals from across the country. Because of our expertise, minimally invasive techniques are often used for the treatment of AVFs.Intraoperative angiography is routinely used to confirm effectiveness of AVF treatment at time of surgery In addition to cerebrovascular surgeons, other physician members of the treatment team include neurologists who specialize in interventional radiology; critical care and neuro-rehabilitation neurologists; and radiation oncologists, who perform Gamma Knife radiosurgery. Treatments The type of treatment depends on the AVF’s location, presence or absence of cortical venous drainage (CVD), severity and nature of symptoms, the patient’s age and health status, and the risk involved in treatment. AVFs are treated on a case-by-case basis. Treatment options include: Observation  When a patient has an AVF without cortical venous drainage (CVD), observation is often the appropriate choice. It may also be appropriate for select patients who have an AVF with CVD, including those who are older, have multiple medical problems or have a complex AVF for which treatment carries high risk. Endovascular Embolization  This inpatient procedure entails passing a small catheter (tube) from a blood vessel in the groin (or arm) up into the AVF, where glue or other material is injected. For many patients, this cures the AVF; in others, it is used in preparation for surgery or radiosurgery. If successful, it provides immediate protection against AVF rupture. Surgery Open surgery is an inpatient procedure designed to remove the CVD (the dangerous part of an AVF) or cure the entire AVF. If successful, the procedure provides immediate protection against AVF rupture. Gamma Knife Radiosurgery A one-day, less-invasive outpatient procedure that involves precisely focusing radiation beams onto the AVF, Gamma Knife radiosurgery causes the AVF to shrink over time. In many cases, the AVF will be cured 1-3 years after treatment. Department of NeurosurgeryWashington University School of Medicine660 South Euclid AvenueCampus Box 8057St. Louis, MO 63110314-362-3570Contact Us Instagram Twitter YouTube Information Refer a patient Clinical faculty directory Locations Giving Careers Faculty job openings Staff job openings Patients MyChart Patient forms Patient imaging ©2024 Washington University in St. Louis