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Summary
This is a video of femoral to anterior tibial bypass tunneled in an anatomical method. We tunneled the bypass graft through the interosseous membrane. We describe the technique of the anatomical bypass and how to avoid common pitfalls.

Authors
Presenting Author: Ali B. Alshawi, MD
Co-Author: Varun Dalmia
Senior Author: Mohamed A. Zyed, MD, PhD, MBA

Target Audience
All members of the vascular surgery field.

Price
SVS Member: Free
Non-Member: $35

Original video presented at VAM 2026

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