Vaulted Ceiling Lighting Can Electrical Lighting Still Be Installed In A Very Vaulted Ceiling - Post New Build?

Can electrical lighting still be installed in a very vaulted ceiling - post new build? - vaulted ceiling lighting

I vaulted ceilings, about 18 meters, but I would like to install new electrical there. I've heard that it does not do a lot of space between the ceiling and the roof itself, but it is possible that cable, instructions, or what you get on the right side, not power?
Thank you!