A stent graft fixation system and method of use includes a stent graft system for fixation to a vessel wall, the system having a helical anchor and a stent graft. The helical anchor has a number of coils with a point at one end and a helical anchor axis, and the stent graft has a stent graft axis. The coils are operable to sew the stent graft to the vessel wall with the helical anchor axis generally parallel to the stent graft axis.