Dialysis patients presenting for angioplasty intervention for graft failure will be randomized to receive either Sirolimus or not receive Sirolimus (standard of care) to assess the time from primary failure or angioplasty intervention to second or next angioplasty intervention or graft failure.
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Comparison of the sirolimus group to the control group from time of assisted primary and secondary patency rates to access abandonment
Timeframe: 12 months