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Taste of Boston
Taste of Boston

"How I Do It" Video Session

VH02 - Dorsalis Pedis Bypass with Non-Reversed Saphenous Vein: A Durable and Time-Honored Technique for Limb Salvage

Thursday, June 11, 2026
1:40 PM - 1:49 PM ET
Location: Hynes CC, Third Level, Ballroom A

    Submitting & Presenting Author(s)

  • Jeremy D. Darling, MD, MS (he/him/his)

    Integrated Vascular Surgery Resident
    Beth Israel Deaconess Medical Center
    Boston, Massachusetts

    Slides

    • Co-Author(s)

  • Christina L. Marcaccio, MD

    Assistant Professor of Surgery, Harvard Medical School
    Beth Israel Deaconess Medical Center
    Boston, Massachusetts

  • Patric Liang, MD

    Vascular Surgeon
    Beth Israel Deaconess Medical Center
    Boston, Massachusetts

  • AL

    Andy Lee, MD

    Assistant Professor, Surgery
    Beth Israel Deaconess Medical Center
    Boston, Massachusetts

  • Lars Stangenberg, MD, PhD

    Assistant Professor of Surgery
    Beth Israel Deaconess Medical Center
    Boston, Massachusetts

  • Mark C. Wyers

    Associate Professor of Surgery
    Beth Israel Deaconess Medical Center
    Boston, Massachusetts

  • Allen D. Hamdan, MD

    Associate Professor of Surgery
    Beth Israel Deaconess Medical Center
    Boston, Massachusetts

  • Marc L. Schermerhorn, MD

    Chief, Division of Vascular and Endovascular Surgery
    Beth Israel Deaconess Medical Center
    Boston, Massachusetts

    • Senior Author(s)

  • Frank W. LoGerfo

    Professor of Surgery, Harvard Medical School
    Beth Israel Deaconess Medical Center
    Boston, Massachusetts

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.