Arteriotomy is a basic task in Vascular Surgery. An anastomosis needs first an arteriotomy. And what is so serious with it? Is there any chance of not being able to do it! Well, sh@@@& always happen. Even in such a simple thing. What can go wrong? A bad incision may harm the artery and raise plaque. So what is the best way to do it?
Use an 11 blade and make a puncture on the artery on about the point of the proximal part of the anastomosis, following the direction of blood flow. Not the other way.
Then, use the potts scissors and extend the incision as much as needed. This is it.