Beaulieu RJ, et al. - In view of the high variability of practice patterns and the high prevalence of end-stage renal disease requiring access creation, researchers sought to ascertain the impact of anesthesia choice during arteriovenous fistula (AVF) or arteriovenous graft (AVG) creation. They searched the Vascular Quality Initiative hemodialysis data set identifying 31,028 patients who underwent AVG (6961) or AVF (24,067) creation between 2011 and 2017. Hemodialysis access with fistula or graft creation is increasingly performed under regional anesthesia (RA), however, traditionally it was performed under general anesthesia (GA). In this analysis, use of RA was noted to reduce the rates of perioperative complications, including infection and bleeding, especially among patients undergoing AVF creation. However, patients undergoing AVG display a 3.2% absolute (21% relative) increased risk of early failure within the first 120 days after dialysis creation in accompaniment to this.