CME credit is not offered for this activity.

This content is provided to members of SVS for free as a member benefit. If you are not a current member of SVS, click here for information on how to apply for membership.

Summary
This video demonstrates a time-tested technique for below-knee popliteal to dorsalis pedis bypass using a non-reversed greater saphenous vein conduit. Performed in a patient with chronic limb-threatening ischemia, the procedure highlights key steps in vein harvest, target vessel exposure, conduit preparation, tunneling, and anastomotic technique. As the volume of distal bypass continues to decline in the endovascular era, this approach reflects a durable and standardized method for limb salvage and underscores the importance of ongoing training in a procedure that has been employed successfully across decades of vascular surgery practice.

Authors
Presenting Author: Jeremy D. Darling, MD, MS
Co-Author: Christina L. Marcaccio, MD
Co-Author: Patric Liang, MD
Co-Author: Andy Lee, MD
Co-Author: Lars Stangenberg, MD, PhD
Co-Author: Mark C. Wyers
Co-Author: Allen D. Hamdan, MD
Co-Author: Marc L. Schermerhorn, MD
Senior Author: Frank W. LoGerfo

Target Audience
All members of the vascular surgery field.

Price
SVS Member: Free
Non-Member: $35

Original video presented at VAM 2026

SVS Disclaimer
The opinions or views expressed on the SVS OnDemand platform are those of the faculty and do not necessarily reflect the opinions, recommendations, or endorsement of SVS. Participants should critically appraise the information presented and are encouraged to consult appropriate resources for information surrounding any product or device mentioned. Information presented, as well as publications, technologies, products and/or services discussed, are intended to inform the learner about the knowledge, techniques, and experiences of SVS faculty who are willing to share such information with colleagues. The SVS disclaims any and all liability for damages to any individual user for all claims which may result from the use of said information, publications, technologies, products and/or services and events.