Translumbar embolization of type II endoleaks after endovascular abdominal aneurysm repair has been proved to be effective. One challenge of this approach is the choice of the most suitable image guiding modality. For needle placement, cross-sectional imaging under computed tomographic (CT) guidance is preferable. For embolization, fluoroscopy is the modality of choice for most interventionalists. A new technology can acquire CT-like images by rotating an angiographic, flat-panel detector of a C-arm around the patient. This technology allows a combination of fluoroscopic and CT guidance within the angiographic suite. The authors describe the successful use of a combination of fluoroscopy and angiographic CT in three cases of translumbar type II endoleak embolization.