Introduction. Endovascular repair (EVAR) of acute symptomatic and ruptured abdominal aortic aneurysm (rAAA) can be difficult without a large stock of suitable graft sizes. We report a prospective European multicentre study of a modular aortouniiliac stent-graft. Patients and methods. Seven centres, with elective EVAR experience, participated in the study. Sixty-five patients were enrolled from September 2002 e April 2005. Some 45 patients had rAAA and 20 were acutely symptomatic. Their media