survival curve is shown in Figure 1. There were no device-related or procedure-related adverse events. Sixty-seven percent of patients survived more than three yr, and 25% more than five yr. In contrast, Conway 5 reported a three-yr survival rate of 17% among 106 abdominal aortic aneurysm patients (mean age, 78.4 yr) who were denied or refused intervention. Using this alternative anaesthetic technique, EVAR in nonagenarians is associated with a high success rate and low adverse event rate. Survival times after successful hospital discharge are encouraging. The 5-year survival rate of 25% is comparable with the 10% rate described in the only other study that followed nonagenarian patients this long, 6 and even to the five-yr survival rates reported for octogenarians, which ranged from 27.4 7 to 64%. 8 This represents the first analysis of EVAR outcomes for nonagenarians with outcomes specifically associated with this anaesthetic technique. True comparison of outcomes using various techniques of anaesthesia, particularly in the very elderly, awaits randomized controlled trials that monitor mortality, morbidity, and subsequent quality of life in a quantitative manner; however, this study suggests that age and the dangers of anaesthesia are not bars to use of EVAR in this age group.