Persons of advanced years are rapidly increasing wherever in the world and sweeping cardiovascular disease. Especially age of > or = 75 are occupying wide field in vascular disease and growing fastest in the proportion of ill population. They have more co-morbidities including cognitive decline, therefore we should be more discretion when we judge the indication and strategy of vascular intervention in the elderly patients. Although vascular intervention in the elderly patients, as such, would have been prevailing like as in the younger people, it is specifically significant to seize the background of elderly individuals when we face vascular invalids.