A simple needle twist could save dialysis fistulas

NCT ID NCT06708338

Recruiting now Disease control Sponsor: Centre Hospitalier Emile Roux Source: ClinicalTrials.gov ↗

First seen Aug 04, 2026 · Last updated Aug 05, 2026 · Updated 1 time

Summary

This trial tests whether the direction of the needle bevel (up or down) during fistula puncture affects the risk of complications in people on hemodialysis. About 240 adults with end-stage kidney disease who are starting dialysis with a new arteriovenous fistula will be randomly assigned to one of two puncture techniques. Over 12 months, researchers will track complications like narrowing, clotting, bleeding, and infection to see if one bevel orientation is gentler on the fistula.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance: Needle bevel orientation (up vs down) for arteriovenous fistula puncture
What this could lead to: If one bevel direction proves safer, it could become the standard way to puncture fistulas, reducing painful and dangerous complications for dialysis patients.
What could go wrong: This is a procedure-based study, and results may not show a clear difference. Complications can still occur regardless of bevel direction, and the trial's findings may not apply to all patients or fistula types.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

congenital arteriovenous fistula end stage renal failure

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

END-STAGE RENAL DISEASE REQUIRING HAEMODIALYSIS

Contacts and locations

Locations

Centre Hospitalier Emile Roux
RECRUITING

Le Puy-en-Velay, 43000, France
Centre Hospitalier de Moulins-Yzeure
NOT_YET_RECRUITING

Moulins, 03000, France
Ctre Hospitalier Intercommunal Poissy St Germain Site Poissy
NOT_YET_RECRUITING

Poissy, 78303, France
Hôpital Saint Joseph Saint Luc
NOT_YET_RECRUITING

Lyon, 69007, France

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