Aim: To assess the feasibility of using endovascular techniques as a safe and effective method in treating high risk patients with peripheral aneurysms Patient and methods: Our series includes 15 peripheral aneurysms treated in our Unit with endovascular technique in the period between January 2014 and February 2015. Of these 11 were men (73.3%) and 4 women (26.6%) with a mean age of 67.2 years (range 45-71 years). The localization of the aneurysmal lesions was as follows: 6 at femoral artery level (4 pseudo-aneurysm and 2 true), 4 iliac artery(CIA, internal iliac) (true), 2 popliteal artery (true), 2 anterior tibial artery (pseudo-aneurysm) and one subclavian (true). The average length of the lesion was found to be 47.3 mm (range 33-67 mm). We used either coils or covered stent to treat such aneurysms.The follow-up was done by serial outpatient clinical evaluation and Doppler-US and CT angiography every 6 months. Results: The clinical success was immediate in 14 patients (93.3%): In 1 case femoral artery aneurysm has not been completely excluded. The follow-up was done by serial outpatient clinical evaluation and Doppler-US and CT angiography every 6 months to check the correct positioning of the stent and good exclusion of the aneurysm after coiling for a minimum period of 12 months. Conclusion: The reconstruction of endovascular aneurysm of peripheral arteries has been proposed in recent decades as an alternative to conventional surgical treatment in patients at high surgical risk.