After you have a stroke -- when blood flow is cut off to an area of your brain -- your chances of having another one go up. You can make changes in your lifestyle to lower your risk, like eating well and quitting smoking. And if you have certain medical conditions that make you more likely to have another stroke, your doctor can treat you for those. In some cases, that treatment may include surgery. An ischemic stroke is by far the most common kind. It happens when something blocks an artery that takes blood to your brain. Unhealthy arteries are one of the main causes of this type of stroke. Over the years, cholesterol, fat, and other substances can build up and form fatty deposits called plaques in the walls of your arteries. This can make the arteries narrower and less flexible. Sometimes the plaques break off. When that happens, clots can form that cut off blood flow, or pieces of plaque can break loose and travel through your bloodstream until they reach an artery that’s too small for them to pass through. Plaque buildup is especially dangerous when it’s inside your carotid arteries -- the ones that run on either side of your neck and bring your brain most of the blood it needs. If one of your carotid arteries is partly blocked, your doctor may recommend surgery to open it.
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