Alucent Vessel Restoration System for AVF

This study is testing a new device called the Alucent Vessel Restoration System to help prepare blood vessels for creating an arteriovenous fistula (AVF) — a surgically connected artery and vein that is used as the access point for hemodialysis. Researchers want to see if this device improves fistula formation and function in people with chronic kidney disease before they need to start dialysis. **You may be eligible if...** - You are 18 or older with chronic kidney disease (CKD) - You are not yet on hemodialysis - You are planning for future dialysis access - You are willing to use effective birth control if applicable **You may NOT be eligible if...** - You are currently receiving hemodialysis - You are pregnant, breastfeeding, or planning to become pregnant during the study - You are taking immunosuppressant medications - You have "Long COVID" Talk to your doctor to see if this trial is right for you.