Figure 5. This 80-year-old patient received a tube endovascular graft 75 months ago. (A,B) Eighteen months after the original endovascular graft (G) repair, the patient developed a distal type 1 endoleak (E). Because the endoleak channel was short and had a large diameter, inducing thrombosis would not be effective in reducing intrasac pressure; therefore, a second EVG was needed to exclude the aneurysm. (C) The Montefiore endovascular graft (M) was inserted via a femoral approach within the previous endovascular graft and the endoleak was treated. Seventy-five months after the initial procedure, the patient continues to do well with continued secondary clinical success.