Registry of GORE® ACUSEAL Vascular Graft in Dialysis Access

This study is tracking outcomes for patients who receive a specific type of synthetic blood vessel graft (the GORE ACUSEAL Vascular Graft) used to create dialysis access — the connection point where a dialysis machine connects to your bloodstream. The goal is to collect real-world data on how well this graft performs. **You may be eligible if...** - You have end-stage kidney disease and need a new dialysis access point created in your arm - Your doctor has chosen to use the GORE ACUSEAL graft for your procedure - You are 18 or older - You are willing to participate and attend follow-up visits **You may NOT be eligible if...** - You already have an existing functional dialysis access (unless it has failed) - You have a condition that would prevent graft placement (like severe blood vessel disease in both arms) - You are not expected to live long enough to complete the follow-up period - You are already enrolled in a conflicting clinical trial Talk to your doctor to see if this trial is right for you.