Congratulations Dr. Sharma & Team VIV on the first successful percutaneous arteriovenous fistula creation in our Fredericksburg clinic! This is a state- of- the art minimally invasive procedure that is an alternative to traditional surgery. Patients who meet the criteria for this option have little no recovery time, avoid post surgery discomfort and have less scarring. Thank you to our Ellipsys support team for helping to ensure our success. Our mission at VIV is to provide outstanding patient care in an outpatient setting with quality clinical outcomes to the community we serve.