Carotid stenting dilation and cerebral angiography. Carotid stenting is the preferred therapy for patients who are at an increased risk with carotid surgery. High risk factors include medical comorbidities (severe heart disease, heart failure, severe lung disease, age > 75/80, etc.) and anatomic features (contralateral carotid occlusion, radiation therapy to the neck, prior ipsilateral carotid artery surgery, intra-thoracic or intracranial carotid disease) that make surgery difficult or risky. Anatomic high surgical risk: Co-morbid high surgical risk: Using the criteria of successful trials, candidates are either symptomatic (TIA or stroke) patients with >50% stenosis of the carotid artery, or are asymptomatic with >80%
Cerebral arteries Cerebral arteries Cerebral arteries describe three main pairs of arteries and their branches, which perfuse the cerebrum of the brain. The three main arteries consist of the: Both the ACA and MCA originate from the cerebral portion of internal carotid artery, while PCA branches from the intersection of the posterior communicating artery and the anterior portion of the basilar artery. The three pairs of arteries are linked via the anterior communicating artery and the posterior communicating arteries. All three arteries send out arteries that perforate brain in the medial central portions prior to branching and bifurcating further. The arteries are