Haemodialysis, a treatment that necessitates the patient to be attached to a device that filters and cleans the blood, is frequently given to older persons with renal disease. This connection is created by establishing a vascular interface with the patient's circulation, generally using a central venous dialysis catheter or an arteriovenous fistula (fistula). Fistulas are made after surgery on the forearm by connecting an artery and vein beneath the skin, and they frequently need to "mature" for several months before they can be utilized. A quick non-surgical operation is performed to introduce catheters into a vein in the neck or chest, after which they are instantly usable. to determine if fistulas are more effective than catheters at relieving the load placed on patients with renal failure who are older than 65. This will be evaluated by comparing the frequency of operations, interventions, and hospital days due to the kind of access used for hemodialysis. The trial will produce high-quality data on the best vascular access type for individuals needing hemodialysis who are at least 65 years old.

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