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The American Journal of Cardiology MARCH 26e29, 2015 11 IN AND C reduce the endoleak in the left iliac artery, vascular plaquewas placed to the left iliaca interna (Figure 6). Later, the left femoral approach was preferred as amain body and stentwas advanced through stiff wire and 14F sheath to cover the aneurysm neck to just below the renal arteries level, and image was taken again at his level. Stent was opened slightly at the infrarenal level to define optimal implantation place (Figure 1). Stentwas opened fully after defining the optimal level (Figure 1). The aneurysmwas completely closed and did not have any flow into. The extension stent was implanted to cover both iliac artery and left common iliac artery aneurysm (Figure 1). Procedure was terminated without any complication. Aneurysm in this patient began just distal to the left renal artery and was significantly angled and tortuous, additionally, aneurysm was extending to the left iliac region. In conclusion, aneurysm repair can be done safely in sharply angled iliac and abdominal aneurysms and in patients with high surgical risk. Vascular plaque should also placed to reduce the endoleak possibility.