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Related Experiment Video

Updated: May 28, 2026

Design and Validation of a Volumetric-extrusion Bioprinter for Bioprinting of Soluble Basement Membrane Extract for Translational Research

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An ode to Cimino.

Anantha K Ramanathan¹, Jerzy Nowacki, Helen Hoffman

¹Department of Vascular Surgery, Wellington Regional Hospital, Wellington, New Zealand. aram02@gmail.com

The Journal of Vascular Access

|October 25, 2011

Summary

A standardized technique for Cimino fistulas, a type of arteriovenous access, demonstrated successful implementation in tertiary practice. This approach yielded good results, highlighting the potential for effective vascular access creation.

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Area of Science:

Vascular Surgery
Nephrology
Dialysis Access

Background:

Arteriovenous fistulas are the preferred hemodialysis access.
Creating successful arteriovenous fistulas can be challenging in tertiary care settings.
The Cimino fistula, a radial-cephalic arteriovenous fistula, is a common type of access.

Purpose of the Study:

To evaluate the successful implementation of a Cimino First policy in tertiary practice.
To assess the outcomes of a standardized surgical technique for radial-cephalic arteriovenous fistulas.

Main Methods:

Retrospective study of first radial-cephalic (Cimino) fistulas placed by a single surgeon.
Application of a standardized surgical technique focusing on the dorsal cephalic branch.
Kaplan-Meier survival analysis was used to determine fistula patency.

Main Results:

77.2% of fistulas matured, with a 1-year primary patency of 69.2%.
Assisted primary patency at 1 year was 85.6%, and secondary patency was 87.6%.
The mean maturation time was 14.0 weeks, with 63.2% of fistulas used for dialysis.

Conclusions:

Cimino fistulas can be successfully created in a majority of patients using a standardized technique in tertiary practice.
The study suggests good outcomes for this approach to vascular access.
Further research is recommended to investigate the specific role of the dorsal cephalic branch.