Dialysis study questions need for routine access checks
NCT ID NCT05906550
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether it is safe to stop regularly checking blood flow in the arm veins used for dialysis. Instead, doctors would only treat problems when they cause symptoms during dialysis. The goal was to see if this approach reduces the number of procedures and medical costs. The study involved 375 adults with kidney failure who were on dialysis.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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375 people
The number who actually took part.
- Started
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Nov 2021
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Adult patients aged 18 years or older. 2. End-stage renal disease with unlikely recovery of kidney function according to the attending nephrologist. 3. Arteriovenous fistula or arteriovenous graft as hemodialysis vascular access that fulfills both of the following criteria at the time of trial enrollment: 1. Vascular access flow volume of at least 500mL/min; and 2. Functional vascular access: the vascular access was cannulated with 2 needles and achieved the prescribed access circuit flow in at least 6 dialysis sessions over the past 30 days. Patients who have single needle hemodialysis for reasons other than vascular access dysfunction (e.g. for nocturnal hemodialysis) but who can be cannulated with 2 needles for flow measurements and fulfill the other requirements for a functional vascular access can be enrolled as well. 4. Planning to remain in one of the participating dialysis centers for at least 1 year. Exclusion Criteria: 1. Arteriovenous fistulas with multiple venous outflow paths upstream of the cannulation sites, that are not suitable for flow volume measurements using ultrasound dilution (e.g. Gracz fistulas and Ellipsys or WavelinQ endovascular fistulas). 2. Home hemodialysis. 3. Thrombosis of the current vascular access in the past year. 4. Planned access-related intervention. 5. Living donor kidney transplantation, switch to peritoneal dialysis, or switch to home hemodialysis planned within 6 months. 6. Life expectancy of less than 6 months, in the opinion of the attending nephrologist. 7. Unable to provide informed consent.
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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.
Contacts and locations
Locations
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Bravis Ziekenhuis
Roosendaal, Netherlands
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Deventer Ziekenhuis
Deventer, Netherlands
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Diapriva - Dialyse Centrum Amsterdam
Amsterdam, Netherlands
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Franciscus Gasthuis & Vlietland
Rotterdam, Netherlands
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Isala Klinieken
Zwolle, Netherlands
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Leids Universitair Medisch Centrum
Leiden, Netherlands
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Maastricht UMC+
Maastricht, Netherlands
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Maxima Medisch Centrum
Veldhoven, Netherlands
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Medisch Spectrum Twente
Enschede, Netherlands
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OLVG
Amsterdam, Netherlands
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Spaarne Gasthuis
Haarlem, Netherlands
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Universitair Medisch Centrum Utrecht
Utrecht, Netherlands
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Zuyderland Medisch Centrum
Heerlen, Netherlands
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