Blood vessels may become blocked in the carotid artery or other cerebral arteries, creating a condition that leads to a stroke....the accumulation of fatty deposits (plaque) in the walls of these vessels causes them to become blocked....carotid arteries are located on both sides of the neck, which is one of the main ways of supplying blood to the brain..not a surgical procedure, but a less invasive procedure that helps the doctor open a blocked vessel through a very small tube open through a vein in the arm or leg. The doctor may also use a stent (narrow spring) to keep the vein open. This procedure is called stenting. Balloon angioplasty. It is brought.... By inflating the balloon, pressure is applied to the wall of the artery, and this pressure removes the blockage of the blood vessels of the brain.... Finally, the catheter is removed from the body. Cerebral angioplasty (cerebral angioplasty) and **stenting** (insertion of a stent) are a combination of two medical procedures used to treat blocked vessels or remove blood clots in the brain. In cerebral angioplasty, the neurosurgeon first opens a catheter (thin tube) through a blood vessel or vein or vein in the patient's arm. hold.** Stent helps to open the artery and reduces the possibility of its narrowing again.... When is cerebral angioplasty and stenting used?. As we said, cerebral angioplasty is used to remove clogging and blockage of brain vessels... The stenting method is used in two common cases, which include intracranial stenosis and cerebral aneurysm. **Intracranial stenosis** means narrowing of blood vessels in the brain.. The possibility of a stroke occurs due to blockage of blood vessels in two main areas: - Carotid artery in the neck (the main route of blood supply to the brain) - Intracranial artery ### 2 .... cerebral aneurysm **Brain aneurysms** (Brain aneurysms) is a weak or thinner point in the wall of the blood vessel of the brain.... In this part, a balloon protrudes from the vessel and fills with blood.... Brain aneurysm is caused due to **abnormality from birth** in the brain or due to **damage to the breasts from a dangerous disease**.... Rupture of the aneurysm causes blood to spread in the brain and is dangerous.... This situation causes more **sub-ochenoid hemorrhage** (the space between the skull bone and the brain) and swelling and pressure on the brain... Tips before performing angioplasty Before using this method to remove cerebrovascular congestion, it is necessary to do the following: - Inform your doctor about your health condition and the medications you are taking so that, if necessary, you can change or stop the medications.... - Before cerebral angioplasty, you must stop taking some medications such as some diabetes medications, non-steroidal anti-inflammatory drugs (NSAIDs) or blood thinners... - If you are a smoker, the doctor will prohibit smoking in the few weeks close to angioplasty.... How to perform angioplasty and stents Placement.. With angiography, the catheter is inserted **usually from the groin**.. This catheter travels towards the problem area in the brain vessels until it finally reaches the desired artery.... In this process, the stent also follows the path of the catheter and reaches the artery. Prevents frequent artery occlusion and supports the artery wall... Blockage of the carotid artery or intracranial arteries... Care after angiography and stenting If stenting is also used during the patient's angiography, the patient will be observed in the hospital for several days so that the doctor can be sure of the patient's health. Other post-operative care includes the following: - Dual antiplatelet drugs are prescribed to prevent the formation of blood clots. Aspirin and clopidogrel are two common drugs that are used after the stenting operation... - The patient is prohibited from doing heavy and intense physical activities for a certain period of time... - A special diet is considered for the patient, that patients should consume more water and liquids. First of all, you should know that this method is not the first treatment. In some patients, the problem of internal cranial stenosis is solved by taking blood thinners and aspirin. When the blockage of the vessel is about 70% and it is not treated with medicine, they use the method of angioplasty of the brain vessels and stenting. Stenting cannot be used for all patients. This treatment method is not used for the following people: - Prohibited for diabetic patients... - Obstruction of vessels that cannot be accessed by angioplasty... - If the size of the aneurysm or the size of the vessel is not within the required range... - Angiography of the patient's anatomy does not confirm the placement of the stent... Possible risks and complications of angioplasty and stenting. Cerebral angioplasty and stenting, like other treatment methods, may have complications... Among these possible risks, the following can be mentioned: - Perforation of the artery and damage to the vascular lining - Stent movement - Bleeding in the brain - Stroke caused by arterial occlusion - Allergic reaction - Kidney failure, especially in people with kidney problems... diagnosis and performing angioplasty by a neurologist. The few specialist doctors in the field of denervation... This has caused many city patients to not be able to benefit from these services... However, if you are faced with a situation where your patient has suffered a mild stroke or has symptoms of it, or has symptoms of a brain aneurysm and things like that, you can contact the neurologist Dr. Kihani Fard.