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Dialysis access is an issue encountered by all patients who need to undergo haemodialysis. The main options currently available for dialysis access—including arteriovenous fistulas (AVFs), arteriovenous grafts (AVGs) and catheters—are each accompanied by challenges that can mean they are not necessarily the “right access” for every dialysis patient. In a recent United States Renal Data System (USRDS) estimate, of 550,000 “maintenance” haemodialysis patients, 355,000 patients were using AVFs, 105,000 catheters and 90,000 AVGs. Of these patients, AVfs were found to have a greater patency, but approximately 50% of AVFs in the USA failed to mature; AVGs had great maturation, but they didn’t have the longevity of AVFs; and catheters caused both inflammation and blood stream infection. This video is sponsored by Phraxis, Inc.