New Needle-Only method challenges surgery for dialysis patients

This study is testing whether a newer, less invasive method to create a dialysis access point (called an endovascular fistula) works as well as traditional surgery. Researchers will randomly assign 80 adult patients needing dialysis access to receive either the surgical or the needle-based method. The main goal of this pilot study is to see if they can successfully recruit and follow patients for a future larger trial, while also checking how well each fistula develops and functions over two years.