A 38-year-old man was admitted to our hospital because of an exacerbation of renal failure. He had a marked bleeding diathesis with platelet dysfunction. Since puncture of major vessels for blood access was considered somewhat hazardous, we invented a method of simultaneously creating a radio-cephalic internal arterio-venous shunt and bypass by a Scribner shunt at the same location. Using this procedure, surgery was successfully completed without major bleeding complications. The patient was able to undergo hemodialysis using the Scribner shunt with no evidence of blood flow recirculation. The internal arterio-venous shunt became capable of being used for blood access 10 days postoperatively.This procedure appears to provide beneficial blood access for patients with a bleeding diathesis.