A cimino or arteriovenous shunt or arteriovenous fistula is a small surgical procedure to connect one artery with a vein. Arterial vessels, which carry blood from the heart throughout the body, will be united with veins or veins, which drain blood back to the heart for blood vessel access during dialysis. This procedure is also called the Cimino-Brescia fistula, which is adapted to the name of the inventor, namely doctors James E. Cimino and Michael Brescia. The main purpose of Cimino is to maintain a smooth flow of blood to the machine during the hemodialysis process. A number of advantages of Cimino compared to other blood vessel access, namely: Having a risk of complications, such as infection or blood clots, is smaller than other vascular access, such as a central venous catheter. The resulting blood flow is most compatible with a dialysis machine. Cimino lasts longer compared to other vascular access. Cimino Indications Cimino is one of the accesses of blood vessels for