Abbreviation: SMA 5 superior mesenteric artery ANEURYSMS of the visceral arteries are uncommon, but when they occur, they frequently present with rupture and have a high mortality (1). These aneurysms are often inaccessible surgically, which has led to the widespread use of transcatheter embolization as the primary treatment (1,2). However, previous intervention, atherosclerotic disease, and even anatomic variants (3) may make the aneurysms inaccessible to transcatheter, intraarterial embolization. In these cases, direct percutaneous embolization is a viable alternative (3–10). We report three cases of direct percutaneous embolization of visceral artery aneurysms. As in previous reports, our small series shows that direct percutaneous embolization is a feasible alternative when more conventional routes fail. However, unlike most previous reports, two of our patients developed complications—aneurysm recurrence in one patient and coil migration into the biliary system in another patient—that help illustrate possible pitfalls related to use of this method.