IntroductionThe use of covered tibial stents extends beyond the treatment of atherosclerotic disease. Tibial artery pseudoaneurysms have traditionally been managed with open surgery; however, the endovascular option is an emerging treatment.ReportThis report describes endovascular management of an iatrogenic anterior tibial artery pseudoaneurysm using a covered stent.ConclusionThis case highlights the use of a covered stent for pseudoaneurysm exclusion, vascular control, and to minimize dissection in a patient with multiple previous surgeries.