Needle vs. scalpel: which dialysis access works best?
NCT ID NCT05654103
First seen Nov 01, 2025 · Last updated Jun 22, 2026 · Updated 39 times
Summary
This study compares two methods for creating an arteriovenous fistula (AVF) in people with end-stage kidney disease who need dialysis. The newer endovascular method uses a needle through the skin, while the traditional surgical method requires an incision. Researchers will enroll 90 patients who qualify for both procedures and randomly assign them to one method, tracking how well the fistula matures and how long it lasts. The goal is to gather data for a larger study to determine which approach is better.
Disclaimer
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This is a summary of
the original study
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Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.
This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.
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Contacts and locations
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Study contacts
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Contact
Phone: •••-•••-•••• Email: •••••@•••••
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Contact
Phone: •••-•••-•••• Email: •••••@•••••
Locations
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UCLA Division of Vascular and Endovascular Surgery Clinic
RECRUITINGLos Angeles, California, 90095, United States
Contact Phone: •••-•••-•••• Email: •••••@•••••
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University of Pittsburgh Medical Center
RECRUITINGPittsburgh, Pennsylvania, 15231, United States
Contact Phone: •••-•••-•••• Email: •••••@•••••
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
Active substance
endoAVF device and surgical AVF procedure
What this could lead to
If this trial succeeds, it could show that the newer needle-based method for creating dialysis access is as good as or better than surgery, potentially offering a less invasive option for kidney patients.
What could go wrong
This is a small pilot study with only 90 participants, so results may not apply to everyone. The newer method may require more follow-up procedures, and it's too early to know which approach is truly better.
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.