EndoForce Post Approval Study

This study is monitoring the long-term performance of a device called the EndoForce Connector System, which is used to create a vascular access graft for patients who need regular dialysis due to end-stage kidney disease. **You may be eligible if...** - You are 18 years old or older - You have end-stage kidney disease (kidneys no longer working adequately) and need to start dialysis - You need a new vascular access graft placed in your upper arm - You are able and willing to follow the dialysis schedule and attend follow-up visits **You may NOT be eligible if...** - You have a condition that makes the EndoForce device unsafe for you (per the device's instructions) - You are pregnant - You are already enrolled in another dialysis or vascular research study (without sponsor approval) Talk to your doctor to see if this trial is right for you.