Endovascular vs Surgical Arteriovenous Fistula Outcomes

Arteriovenous fistulas (AVFs) are the preferred type of vascular access for dialysis, but many of them fail to mature. There are two techniques of creating AVFs either the traditional way with surgery( Surgical AVFs) or novel per-cutaneous technique Endo- AVFs. Investigators will pilot an randomized clinical trial of endo-AVFs and surgical AVFs at University of Alabama at Birmingham to determine the feasibility of patient recruitment, randomization, and retention. This pilot study will set the stage for a full-scale randomized clinical trial in future.

Inclusion Criteria: * Study will include participants who are 18 years and older who are scheduled to have an AVF * preoperative ultrasound showed feasibility to have an endo-vascular AVF vs surgical upper arm AVF Exclusion Criteria: * Age below 18 years * participants eligible for low forearm AVF ( radio-cephalic)