Annual INR ANGIOGRAM CEREBRAL Post Flow Diverter Stent Procedure

Hello,

I had a stent diverter procedure last Jan. 2025 near my left ICA . My doctor wants to perform a INR Angiogram. I had a horrible experience with the stent diverter procedure: full blown panic attacks, brain fog, visual disturbances. I am afraid to experience this again. Not to mention, I am still experiencing daily headaches/visual disturbances. I understand the INR angiogram is necessary to ensure the stent and aneurysms are healing properly. For those that have done the follow-up INR Angiogram, how did it go? Any side effects?

​From Va, USA
​

Good Morning Karolina! I have had several follow up diagnostic angiograms. I would usually get one six months after a repair attempt. To me personally, they weren’t much different than a repair except they’re much shorter in duration. To be honest, I don’t remember the endovascular procedure used when I ruptured. In total my neurosurgeon has been in my brain 7 times, I have an unusual type of multi- lobed aneurysm. It’s as stubborn as I am it seems.

Sorry to read about your issues, panic attacks can be quite debilitating, not to mention headaches and visual loss. You may not believe me when I say relaxation breathing can help with both panic attacks and headaches. The caveat is that you must practice the relaxation breathing all the time. Every day multiple times a day for as long as it takes you to master it. Hydration, protein and rest can help those headaches as well.

There’s a few things I have always done before an angiogram of either type. I hydrate well so the needles go in easier. I really want my veins and arteries to be the best I can get them and that takes proper hydration. Of the three arteries Dr. Q-W has used, they’ve all been tortuous (squiggly). I figure if I hydrate well beforehand, it makes it easier for her to guide the catheter through whichever one she uses. I’ve never asked her, but the RNs that stick me have appreciated it.

To get my mind off of having yet another procedure I would get what I call my house and House together. My last angiogram was in 2021 it’s been awhile. I’d do all the heavy cleaning (vacuuming, mopping floors, cleaning the bathrooms)and yard work so it wouldn’t need to be done for a bit after an angiogram. In 2016, we updated our wills before I had my 3rd repair attempt. Apparently our first wills weren’t worth the paper it was typed on. Yes, I do know people don’t want to talk about the negatives that can happen. But I don’t like to ignore them, angiograms come with risks we sign off on. I’m one of those people who likes to be prepared. I am not allowed to cook unsupervised so we would get easy to prepare lunches for me which meant sandwiches, salads, or something I could pop into the microwave. I’d have fruit available for my snacks and always protein drinks, protein bars and the inevitable amount of Gatorade I had to drink. I am allergic to the dye so I had to drink 3 of the large bottles and either two or three times that in water for numerous months after the procedure. I learned from members here that there’s other ways to get electrolytes which is why I would have to drink the Gatorade. By then, I’d learn which Gatorade flavors I preferred but it helps to have backups, right?

The House part is my spiritual beliefs so I check in with my Higher Power it brings me comfort and has a calming effect. I always asked for Presence for my surgical team. Selfish I guess, but I was always more concerned that my surgeon and her team was helped more than me. My thinking is strange, but if they’re covered I figure so am I. Right before my surgeon started I’d inquire if she slept well, ate something and went potty. One of the guys asked me why I asked her the same three things and i responded simple, would you want someone in your brain who was tired, thinking about that missed meal or doing a potty dance trying to navigate mountain roads to your brain? After that he always made sure she had something to eat and he told me he’d tell her to go potty which made everyone laugh. I missed that team when they changed out, I’d had them for 4 or 5 times. They played the type of music I liked before she came in, would joke around with me all of which helped to keep me calm.

One time she was late coming to the ball but I was already on the table ready to go. I’d been in the pre surgical unit for a very long time. She had an emergency come up. When she finally made it to the ball, she apologized for her tardiness and explained she had to operate on a 5 year old. I asked if he made it, he had! It made me happy. My career choice had been in CPS and I saw a lot of negative things happen to children, unfortunately some of them fatalities. The she looked at her team and told them something like “See, I told you she wouldn’t mind”.

Because of my allergies to the dye, I cannot have another angiogram unless it’s to save my life. I view that as a positive for me. I don’t allow myself to dwell on my aneurysm that doesn’t want to be fully occluded but for about 15 minutes a day. It is what it is to take a line from J. E. Lawrence. I can’t change the past but I can look forward in a positive way.

1 Like

I am sorry to hear about your allergy to dye. I hope you never have to need it. Thank you for your advice about hydrating. I will def remember this instruction before the procedure. I hate that this procedure has risk. I guess so do all other surgical procedures. This risk is what I think sometimes activates my panic attacks - it doesn’t feel natural like having a baby. When I had a C section, there was risk involved but it never stressed me. Probably because I was giving life. On the other hand, this procedure freaks me out. The idea of someone looking at my brain and or messing with it seems freaky.

As you and everyone else has probably figured out, I’m strange, very strange. When WFBH got their new room with all new fancy equipment I tried to look at the big screen. Dr Q-W asked me what I was doing. I told her I wanted to watch and fussed about the big screen and suggested they get a smaller one attaching it to the ceiling. The RNA gave me more drugs​:joy:

I would strongly encourage you to learn relaxation breathing. One of the great advantages of it is the introduction of more oxygen into our bodies which means our brains get more too. I let whichever RN is sticking me to time it when I breathe out so I barely feel the stick. Relaxation breathing prevents our muscles from tightening. I used to have my clients try to hold their hands ito fists while we practiced, if they concentrated on their breathing, they couldn’t do it. It reduces blood pressure. When we start feeling anxious, it can increase our blood pressure and tighten muscles. It also makes our heart rate increase. When that happens our brain sometimes goes into the flight/fight mode. Relaxation breathing puts the control back in our hands and the flight/fight response is greatly reduced or becomes a non issue. So it stops the anxiety we start to feel. A win/win situation!

When I learned it, the technique was different but results the same. The Psych RN who was teaching the class also used guided imagery one time. Oddly enough, I’ve never forgotten the little story he created. We had voted for the mountains over the beach or desert. His story started us driving up the mountain with the car breaking down. A trail appeared looking much like a deer trail so he created a struggle to walk it. The trail eventually widens, becoming easier to walk. It leads to a cabin in the woods, when we get to the door, the door opens. He then told us to finish the story to ourselves.

Most times I can just start the image where the trail opens to the cabin. Took me several years to get it back after my rupture since I couldn’t see a picture in my brain, I called it “black brain”. No one understood what I meant at any doctor appointment because all I could say was “brain black”. It did indeed trouble me, when it would scare me, I knew I wasn’t breathing correctly so I’d start counting with my fingers breathing in and out. I was taught breathe in deeply for count of five, hold for five, release all the air for five. The deeper you can breathe in the better. I taught my clients what was taught to me. Practice all the time. When you wake up and have to go to the bathroom, before and after every meal. Before you go to sleep, any time you start to feel stressed. You will need to identify what your body does first when stress or anxiety first begins before your brain tells you. It could be anything - a clenched fist, shallow breathing, tightening in the abdomen, back, neck or chest, etc. if possible ask someone what they notice first if you can’t figure it out. But they’re are a lot of YouTube videos. Find one that works for you.

1 Like