Brescia-Cimino method (part 3)

To ensure adequate arterial supply to the limb after construction of a fistula the surgeon must make sure that the followings are fulfilled:

• An alternative arterial supply is available
• The artery is not interrupted
• The anastomosis should be made as peripheral as possible or if a more central location between larger vessels such as the brachial artery and cephalic vein is required. The anastomosis should be made small enough to avoid a steal syndrome