Dr. Takahashi is a vascular surgeon from Asahikawa Medical University in Japan. He well handled many patients with chronic limb-threatening ischemia (CLTI) and usually treated them by surgical revascularization, especially distal bypass surgery. His lots of experience of distal bypass surgery is associated with valuable clinical data of distal bypass surgery based on Global Vascular Guidlines, which selected as the most valuable presentation in Japanese Society of Vascular Surgery Annual Meeting 2022. He was given opportunity for presentation in ESVS 2022.