What fistula is created by connecting the radial to the cephalic or the ulnar to the basilic? ALSO known for long-term patency

• A. Brecia-Cimino Fistula
• B. Brescia-Cimino Fistula
• C. Radiocephalic Fistula
• D. Ulnar-Cephalic Fistula

Answer: (A)

When preparing access for long-term hemodialysis, a native arteriovenous fistula is created by connecting a feeding artery to a running vein, so blood flows directly from artery into vein to enlarge and mature the vein for repeated cannulation. The Brescia-Cimino fistula refers to the classic distal fistula created between the radial artery and the cephalic vein at the wrist. This arrangement is prized for long-term patency because it uses the patient’s own vessels, tends to have favorable flow dynamics, and preserves proximal vessels for future access. It’s the archetype of durable, autogenous fistulas and traditionally the first choice when anatomy allows.

The other description, connecting the radial to the cephalic (radiocephalic) is essentially the same idea, and a ulnar-to-basilic fistula is a different configuration that may require additional steps like vein transposition. The Brescia-Cimino naming specifically highlights the classic, durable radial–cephalic wrist fistula, which is why it’s the best answer.