In accordance with certain aspects of the present disclosure, a subcutaneous arteriovenous graft system is described. The system includes an arteriovenous graft having an arterial end and an opposite venous end, at least one of the arterial end and venous end including a support frame. The system further includes a first valve device positioned at the arterial end of the arteriovenous graft and a second valve device positioned at the venous end of the arteriovenous graft and an actuator in communication with both the first valve device and the second valve device, the actuator being configured to cause each valve device to open or close simultaneously.