[Arteriovenous fistula. Apropos of a local experience in Morocco]

During eleven years (1983-1994), 684 arteriovenous fistulas (AVF) were realized for 422 patients. The mean follow-up was 39 months. The most frequent AVF was Cimino and Brescia and the most frequent seat was radial. The failure rate in the immediate post-operative period was 10% and 8% after 48 hours. The permeability of the AVF was 59%, 51% and 42% at 1, 2 and 3 years. The late complications were thrombosis (28%), stenosis (15%) and false aneurysm (11%). In spite of recruiting patients with chronic renal failure and deficiency in hospital basic equipment, this experience permit us to start and then, to improve the activity of making AVF and to be able to pick-up patients with chronic renal failure.