The patient requires the creation of vascular access for hemodialysis secondary to a diagnosis of End-Stage Renal Disease (ESRD) and intends to use the Vascular Graft device for arteriovenous (AV) access.
The patient is currently on hemodialysis or intended to begin hemodialysis within 60 days following placement of the device.
Adult patients, 18 years or older.
Patient has given informed consent to participate in the trial.
Stated willingness to comply with all trial procedures and availability for the duration of the trial.
Able to effectively communicate with trial personnel.
Life expectancy judged to be at least 2 years with consideration of patient frailty.
Axillary vein approximately 7 mm in diameter or greater.
Brachial artery approximately 4 mm in diameter or greater.