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137). However, carotid XSP (14 [12 - 19] to 17 [12 - 22] mmHg, P=0.031) and XSPI increased significantly (275 [212 - 335] to 334 [241 - 439] kPa∙s, P=0.015), despite a reduction in CF-PWV (13 ± 3.6 vs 12 ± 3.5 m/s, P=0.025). Creation of an AVF resulted in increased XSP in this population, despite improvement in diastolic BP and aortic stiffness. These findings underline the complex hemodynamic impact of AVF on the cardiovascular system. Creation of an AVF resulted in increased XSP in this population, despite improvement in diastolic BP