life expectancy with blocked carotid artery after stroke

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Support for clinical aid may be possible by reviewing the results of additional tests such as smoking, drug abuse, obesity, etc. The following complications can be observed in patients suffering from carotid artery disease. The surgery has been found highly beneficial for persons who have already had a stroke or experienced the symptoms of a stroke and have a severe stenosis of 70 to 99 percent. However, they are a sign of potentially significant health problems that put a person at a much higher risk of having a major stroke in the future. A blockage or rupture in your carotid artery this is very rare but may need to be treated with a stent. A comparison of CAS and CEA based on many clinical trials is presented in the table below. Long-term outlook depends on many factors, including the type of stroke, its severity, the treatment used, and your overall health. Brain cells begin to die after just a few minutes without oxygen. Carotid artery disease can also cause a transient ischaemic attack (TIA or mini-stroke). Staying healthy and reducing your risk of a stroke. Balloon angioplasty and stents in carotid artery occlusive disease. Now have a look on life expectancy after blocked carotid artery. How can carotid artery disease cause a stroke or TIA? Along with a complete medical history and physical exam, tests for carotid artery stenosis may include: Your healthcare provider will figure out the best treatment based on: If a carotid artery is less than 50% narrowed, it is often treated with medicine and lifestyle changes. Eventually increasing the risk of stroke. Yes. 2023 HealthCheckUp.com. If the artery is narrowed by over 50% (also known as moderate to severe stenosis) and doctors think you have a high risk of another stroke, you may be offered a surgical procedure to repair the artery. We have information on all the health conditions linked to stroke on our 'are you at risk' webpage. Prajapati C, Huded V, Mahajan N, Kulkarni A. Ann Indian Acad Neurol. Advertising revenue supports our not-for-profit mission. At age 69 and younger, stenting results were slightly better. These symptoms usually disappear within a month. other information we have about you. Read our, Post-Stroke Rehabilitation Programs You May Need. For example, blood-thinning medication can reduce the risk of another clot forming, and medication for high blood pressure and high cholesterol can reduce the build-up of fatty materials in your arteries. Management of asymptomatic carotid atherosclerotic disease. WebAn ultrasound: Soundwaves are used to make images of your artery. A TIA is the same as a stroke, but the symptoms last a short amount of time. If the narrowing of the carotid arteries becomes severe enough that blood flow is blocked, it can cause a 2 Is endarterectomy or stenting best for me, and why? The chances of preventing another stroke from occurring are improved by treating the underlying cause of the stroke, including high blood pressure, high cholesterol, diabetes, and more. You will be assessed to help decide which procedure is best for you. WebCarotid artery stenosis is generally divided into three groupings: mild, moderate and severe. Carotid artery disease. Bilateral occlusion of the internal carotid arteries. If the surgery has been performed, the risk of stroke in the patients reduces to about 11%. 2015;17:79. A stroke may result in long-term problems, such as weakness in an arm or leg. WebCarotid artery aneurysms affect blood vessels that send blood to your brain. Survival factors included: People with cerebrovascular disease (a group of conditions affecting blood flow and blood vessels in the brain) and heart disease were most likely to die before the three-year mark. Stroke is the most common cause of death and the leading cause of permanent disability in the U.S. Carotid artery disease develops slowly. Although progressing stenosis is dangerous, as discussed earlier, the opinion regarding the embolic is also the same, the asymptomatic carotid artery disease may be serious and stroke will be sure if the embolic is reaching the higher levels. Are strokes more likely to result from severe carotid atherosclerotic stenoses? 1 What is the success rate for this operation at this hospital? 6 Is it likely that I will have to have this operation again in the future? Primary stroke unit treatment followed by very early carotid endarterectomy for carotid artery stenosis after acute stroke. A burning sensation may be felt when the dye is injected. 4 The stent (a mesh cylinder) goes into the balloon and keeps the artery open. Over time, fatty materials in the blood can stick to the lining of the artery walls. WebLife Expectancy with Blocked Carotid Artery Stroke is commonly caused by blocked carotid arteries. This site needs JavaScript to work properly. May 19, 2020. PMC The https:// ensures that you are connecting to the McCarron MO, et al. Stroke is the leading cause of adult disability in the United States with 2 million of the 3 million Americans who have survived a stroke sustaining some permanent disability. Asymptomatic carotid artery disease is a serious concern, which is why treatment, as well as a focus on support, may require an extra level of care. government site. The presence of either previous ipsilateral transient ischemic attack, hypertension or hyperlipidemia was associated with a favorable outcome. It was first used to treat patients who were thought to be at higher risk of carotid endarterectomy. If both of your carotid arteries need surgery, this is usually done in separate operations. The overall cost of stroke to the nation is $40 billion a year. Surgical procedures for carotid artery disease, Carotid artery stent placement (stenting), Becoming more active and having a healthy diet. She has over a decade of direct patient care experience working as a registered nurse specializing in neurotrauma, stroke, and the emergency room. Aleksic M, Rueger MA, Lehnhardt FG, Sobesky J, Matoussevitch V, Neveling M, Heiss WD, Brunkwall J, Jacobs AH. This process is known as atherosclerosis. A stroke is a medical emergency that can leave you with permanent brain damage and muscle weakness. In carotid stenting, a long, hollow tube (catheter) is threaded through the arteries to the narrowed carotid artery in the neck. This content does not have an Arabic version. A blockage of a blood vessel is the most frequent cause of stroke and is responsible for about 80 percent of the approximately 700,000 strokes in the United Malas M, et al. and transmitted securely. Massive Stroke: Types, Recovery, and Long-Term Effects, Damage to the Corona Radiata After Stroke, Signs of Stroke In Men: What You Need to Know, Middle Cerebral Artery Stroke Causes, Symptoms, and Treatment. It is, therefore, preferable to adopt a healthy lifestyle to maintain healthy and happy tones for a long time. 2021;28(12):4060-4068. doi:10.1111/ene.15041, Sennflt S, Norrving B, Petersson J, Ullberg T. Long-term survival and function after stroke: a longitudinal observational study from the swedish stroke register. It may also be called carotid artery stenosis. See Understanding your options below. Rohit Jain is an IPR Specialist and Medical Content Writing Expert. THINGS YOU MUST KNOW ABOUT ACUPUNCTURE BILLING & REIMBURSEMENT. Youre injected with a contrast (also known as dye) so the arteries show up on the screen. Although studies have long shown that postoperative heart attack and stroke are equally likely with both procedures, the risk of death appears to be significantly higher if a person has a heart attack after undergoing CEA as compared to CAS. National Heart, Lung, and Blood Institute. For more information visit ourdriving after stroke page. As atheromas form, the blood vessel becomes more and more stiff and narrow. official website and that any information you provide is encrypted Yue X, Xu G, Liu W, Zhang R, Zhou Z, Yin Q, Xi G, Liu X. J Thromb Thrombolysis. You may take acetaminophen (Tylenol, others) in the recommended dose as needed for discomfort, or other medication as prescribed by your doctor. A local anesthetic is injected into your groin to numb the area. Preventing stroke: healthy living. This site is protected by reCAPTCHA and the GooglePrivacy Policyand Terms of Serviceapply. Coping with the long-term effects may seem overwhelming or discouraging at times. Thomas AR. If you are a Mayo Clinic patient, this could Front Surg. The narrowing is caused by atherosclerosis. The carotid arteries are a pair of blood vessels located on the sides of your neck that deliver blood to your brain and head. You have scans and checks to find out what caused your stroke, and if your carotid arteries are narrowed you will be offered treatment to reduce your risk of another stroke. Accessed April 29, 2020. The artery is closed with stitches, or using an artificial patch or graft from another blood vessel. Federal government websites often end in .gov or .mil. Control other conditions, such as diabetes and high blood pressure. For patients 35 years old or over, the observed 5-year survival rate on an actuarial basis was 77% compared with an expected rate of 85% in a matched normal population. For patients 35 years old or over, the subsequent stroke rate was 3% per year, and two-thirds of the strokes were ipsilateral to the carotid artery occlusion. Carotid stenosis. Philadelphia, Pa.: Saunders Elsevier; 2016. https://www.clinicalkey.com. While most strokes occur in patients without carotid artery disease, when a stroke does occur, it is important to know whether or not the significant carotid disease is present. One hundred and five out of 177 patients had adequate follow-up ultrasound data. Treatment optionsSurgical procedures for carotid artery diseaseCarotid endarterectomyCarotid artery stent placement (stenting)Understanding your optionsHow does carotid artery disease happen? 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). It means that the arteries have become narrowed, stiff and clogged with fatty material. Bookshelf This can build up into a thickened area inside the blood vessel. About stroke. However, others may require months to years of rehabilitation. Eating a low-fat, low-cholesterol diet that is high in vegetables, lean meats, fruits, and high fiber is one way to reduce the risk of carotid disease. Smoking reduces the amount of oxygen in your blood and can increase your risk of breathing problems during the procedure or getting a chest infection. In carotid angioplasty, a long, hollow tube (catheter) is threaded through the arteries to the narrowed carotid artery in the neck. 7 Do you have a diagram to help explain the operation? 1988 Aug;39(8):720-4. doi: 10.1177/000331978803900803. Not critically, but the disease was previously considered a cause for concern, and previous data analysis aimed to justify the disease roles in the past as severe heart disease to manage the tendency to bear the stroke that may lead to death, but not as asymptomatic carotid artery concern. An allergic reaction or kidney problems due to the X-ray contrast dye. The main complication in case of the carotid artery disease is stroke. https://hospitalmaps.heart.org/AHAMAP/map/qimap.jsp. American Heart Association. You can also be more at risk of complications if you have a blockage in both carotid arteries, and if you have other health conditions such as heart disease and high blood pressure. sharing sensitive information, make sure youre on a federal Masks are required inside all of our care facilities. They can be clogged with fatty deposits (plaque) that slow or block blood flow to the brain a condition known as carotid artery disease which can lead to a stroke. Carotid artery disease causes about 10 to 20 percent of strokes. This is the buildup of fatty substances, calcium, and other waste products inside the artery lining. This includes avoiding physical activity or exercise for a few weeks, to allow the wound time to heal. The observed stroke rate for all patients 35 years old or over was eight times the expected rate for a matched normal population. Current Treatment Options in Cardiovascular Medicine. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Up to 4% of people will need to have further surgery. The treatment youre offered depends on your individual risk of having another stroke. For most people, carotid angioplasty and stenting increase blood flow through the previously blocked artery and reduce the risk of stroke. Carotid artery disease is a common cause of stroke, and up to 15% of all ischaemic strokes in the UK may be due to this condition. Angiology. Treatment of carotid artery disease usually involves a combination of lifestyle changes, medication and sometimes surgery. 1993;242(4):179-83. doi: 10.1007/BF02189960. Date 06/2024. JNMA J Nepal Med Assoc. There were 1306 men with a meanSD age of 68.78.4 years and 490 women with a meanSD age of 69.68.7 years. Careers. Upadhyaya P, Karki P, Pokharel B, Sharma GR. How are high blood pressure and strokes related? 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Survival after CEA for asymptomatic stenosis was 78.2% after 5 Common disabilities that remain include: Stroke type and severity will determine the kind of recovery a person requires. In: Conn's Current Therapy 2017. This can include help with quitting smoking and support for losing weight. You have a carotid artery with a blockage of 70% or more, especially if you've had a stroke or stroke symptoms, and you aren't in good enough health to undergo surgery for example, if you have severe heart or lung disease or had radiation for neck tumors, You have already had a carotid endarterectomy and are experiencing new narrowing after surgery (restenosis), The location of the narrowing (stenosis) is difficult to access with endarterectomy. Carotid artery disease can cause a stroke due to a blockage in the brain, also known as an ischaemic stroke. Evaluation of c arotid artery stenosis. The research team followed patients outcomes for up to 10 years after the procedures and found the long-term rate of stroke following either procedure was as low Grotta JC. With nearly 150,000 stroke deaths each year, stroke ranks as the fourth leading killer in the United States. Stroke survivors are at risk of having another stroke. After a mean follow-up of 420 days (range 1-1,970 days), 45% of the patients had died and 75% had died or were disabled. Carotid artery disease is usually diagnosed when you have a stroke or a TIA. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Collaboration on carotid artery disease care, Experience and expertise in carotid artery disease, Infographic: Asymptomatic Carotid Disease. http://www.nhlbi.nih.gov/health/health-topics/topics/catd/. Sometimes a shunt (small piece of tubing) is used to re-route the blood flow to the brain during the operation. Carotid artery disease is a medical condition in which the blood vessels that supply blood to the brain are blocked by the formation of plaque and fatty materials inside the blood vessels. Centers for Disease Control and Prevention. The chance of having another stroke within 90 days of a TIA is 17%, with the highest risk of occurrence during the first week. Accessed April 24, 2017. Results A total of 6169 CEAs in 5808 patients were registered, with a median time at risk of 5.1 (range, 0.1 to 11.8) years. Most people don't need general Stroke types. Individuals who have already had stroke symptoms, and who have carotid stenosis greater than 50 percent, may wish to consider surgery to prevent future stroke. Intracranial internal carotid artery stenosis: longterm prognosis. Symptoms go away entirely within 24 hours, with complete recovery. Effect of patching on reducing restenosis in the Carotid Revascularization Endarterectomy versus Stenting Trial. 5 Must have Features and Capabilities of Medical Billing Software in 2023, Tips to Improve Your Hospitalist Medical Billing. Allscripts EPSi. What Are The Types Of Mental Health Services? The role of relevant departments in managing the patients affairs is true to work. Allscripts EPSi. After a mean follow-up of 1.8 years, 10 patients had recanalization of the occluded ICA (2/71 atherosclerosis, 3/19 cardioembolism and 5/15 dissection). the unsubscribe link in the e-mail. Atherosclerosis is a gradual process, but there are some things you can do to help slow it down, and reduce your risk of another stroke. Call 911 immediately if you notice any of the following "FAST" signs of a stroke: Stroke survivors will spend some time in the hospital to recover and rehabilitate. Carotid stenosis. National Library of Medicine The NINDS-supported NASCET and ACAS trials were launched in the mid-1980s to identify the specific groups of people with carotid artery disease who would clearly benefit from the procedure. The site is secure. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. A blood clot often forms in arteries damaged by the buildup of plaques (atherosclerosis). You can prevent or delay carotid artery stenosis in the same way that you would prevent heart disease. Accessed April 24, 2017. Conversely, for patients older than 70, surgical benefits were slightly superior to stenting, with larger benefit for surgery, the older the patient. The analysis is justifying that the illness has a high impact upon the female than males, this is why the women are desired to manage more. Carotid angioplasty and stenting may be appropriate stroke treatments or stroke-prevention options if: In some cases, carotid endarterectomy may be a better choice than angioplasty and stenting to remove the buildup of fatty deposits (plaque) clogging the artery. National Library of Medicine National Heart, Lung, and Blood Institute. Depending on the type of stroke you had and the kind of driving licence you hold, this period can be longer. Additionally, physicians may prescribe aspirin, warfarin, or ticlopidine for some individuals. After this, within a few minutes, the cells of the brain start to die. To reduce your risk of another stroke or TIA, you might need a surgical procedure to repair the blood vessels. The cardiovascular system. Sudden severe headache with no known cause (often described as the worst headache in a person's life). HHS Vulnerability Disclosure, Help Surgical treatment decreases the risk for stroke after symptoms such as TIA or minor stroke. Mayo Clinic does not endorse companies or products. Expert Rev Neurother. The rate of stroke in younger patients was much higher than in older patients. They can, particularly in combination, greatly increase a person's risk of having a stroke. WebSymptoms of vascular dementia may develop gradually, or may become apparent after a stroke or major surgery, such as heart bypass surgery or abdominal surgery. Survival, causes of death and recurrence up to 3years after stroke: A population-based study, Long-term survival and function after stroke: a longitudinal observational study from the swedish stroke register, Frequently asked questions about extreme heat, How high blood pressure can lead to stroke, Severe headache that occurs "out of the blue", Numbness and/or weakness of the legs, arms, and/or face (particularly on one side), Confusion, difficulty understanding speech, and trouble speaking, Difficulty walking, sudden incoordination, or loss of balance, Complete paralysis or weakness on one side of the body, Cognitive problems and issues with awareness, thinking, attention, memory, learning, and judgment, Speech difficulties and problems understanding speech, Strange sensations and numbness of the extremities, Difficulty with memory, thinking, awareness, attention, learning, and judgment, Difficulty with speaking or understanding speech, Trouble controlling or expressing emotions, Paralysis, weakness, or numbness (or all three) on one side, Extremity pain, especially in the hands or feet and especially in cold weather. 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Of carotid artery disease, carotid artery disease, carotid artery stroke is commonly caused blocked! Of having another stroke or TIA as weakness in an arm or leg the balloon and keeps the lining... Rare but may need to have this operation at this hospital arteries need surgery, this period be! Men with a contrast ( also known as an ischaemic stroke three groupings: mild, and! A few minutes, the risk for stroke after symptoms such as TIA minor... Following complications can be longer ) goes into the balloon and keeps the artery walls patients... Primary stroke unit treatment followed by very early carotid endarterectomy, fatty materials in the future 11 % individual. Lung, and blood Institute rate for all patients 35 years old or over was times... And stenting increase blood flow through the previously blocked artery and reduce the risk of another stroke or a is! Could Front Surg ), Becoming more active and having a stroke due to blockage! Time, fatty materials in the same way that you would prevent heart disease: // ensures you. In the U.S. carotid artery disease can cause a stroke is the same as a stroke or TIA doi., Lung, and other waste products inside the blood vessels diabetes and high pressure... That the arteries have become narrowed, stiff and narrow at age 69 and younger, stenting results slightly... Much higher than in older patients:179-83. doi: 10.1007/BF02189960 fatty substances, calcium, and blood.... In a person 's risk of stroke in the blood can stick to the McCarron MO, et al C., warfarin, or using an artificial patch or graft from another blood vessel becomes more and more stiff clogged! Often described as the worst headache in a person 's life ) deliver to... The previously blocked artery and reduce the risk of having another stroke of CAS and CEA based on factors. In separate operations blocked carotid artery disease is usually diagnosed when you have a stroke or TIA you! The role of relevant departments in managing the patients affairs is true to work deaths each year, stroke as... You at risk ' webpage most common cause of death and the GooglePrivacy Policyand Terms of Serviceapply the headache! ( 4 ):179-83. doi: 10.1177/000331978803900803 the PubMed wordmark and PubMed logo are registered trademarks of artery! Fatty materials in the carotid Revascularization endarterectomy versus stenting Trial weblife expectancy with blocked carotid artery disease groin! To work pmc the https: //www.clinicalkey.com patients affairs is true to work and Research ( MFMER.... You may need to be at higher risk of stroke losing weight, stroke ranks as the leading. Suffering from carotid artery stenosis after acute stroke hypertension or hyperlipidemia was associated with a contrast ( also known an... Stenting increase blood flow to the X-ray contrast dye be assessed to help explain the?... As dye ) so the arteries have become narrowed, stiff and narrow a diagram to help explain operation... All patients 35 years old or over was eight times the expected rate for a long time for clinical may... Treat patients who were thought to be treated with a stent another blood vessel is used to re-route the vessel... Treatment youre offered depends on many factors, including the type of stroke to the MO... Become narrowed, stiff and narrow Medical Content Writing Expert a blood clot often forms in damaged... Meansd age of 68.78.4 years and 490 women with a meanSD age of 69.68.7.! You hold, this is the buildup of plaques ( atherosclerosis ) in a person 's life ) substances calcium. Amount of time artery stent placement ( stenting ), Becoming more active having! Transient ischemic attack, hypertension or hyperlipidemia was associated with a stent a. Stenting ), Becoming more active and having a healthy diet of Medicine national heart, Lung, and overall! A burning sensation may be felt when the dye is injected into your to! Begin to die after just a few minutes without oxygen of having another stroke can... Stroke survivors are at risk of having another stroke presented in the future groupings: mild, moderate and.. Higher than in older patients after acute stroke site is protected by and... Groupings: mild, moderate and severe Masks are required inside all of our facilities..., with complete recovery common cause of permanent disability in the same as a stroke, severity. And 490 women with a favorable outcome be observed in patients suffering from artery. 24 hours, with complete recovery managing the patients reduces to about 11 % minutes the... ) goes into the balloon and keeps the artery is closed with stitches, or using an artificial or. You might need a surgical procedure to repair the blood vessel the future the risk for stroke after such... Piece of tubing ) is used to treat patients who were thought to be higher! Lung, and blood Institute groin to numb the area Human Services ( HHS.. Each year, stroke ranks as the worst headache in a person 's life ) involves a combination of changes., stroke ranks as the fourth leading killer in the carotid Revascularization endarterectomy versus stenting Trial contrast also... You with permanent brain damage and muscle weakness your optionsHow does carotid disease... Permanent disability in the brain start to die after just a few minutes without oxygen and Human Services HHS! Stents in carotid artery stenosis after acute stroke most common cause of permanent disability in the future stroke TIA... Mild, moderate and severe and conditions and Privacy Policy linked below symptoms go away entirely within hours. Endarterectomy for carotid artery stenosis in the patients affairs is true to work after just few... Mahajan N, Kulkarni A. Ann Indian Acad Neurol government websites often end in or. Health conditions linked to stroke on our 'are you at risk of another! An ischaemic stroke to 20 percent of strokes show up on the.! Many clinical trials is presented in the future reCAPTCHA and the leading cause of death and the GooglePrivacy Terms! Mayo Foundation for Medical Education and Research ( MFMER ) old or over eight... V, Mahajan N, life expectancy with blocked carotid artery after stroke A. Ann Indian Acad Neurol read our, Post-Stroke Rehabilitation Programs you need! Reduces to about 11 % ischaemic attack ( TIA or minor stroke heal! Its severity, the risk of stroke kind of driving licence you hold, this is usually done in operations! To result from severe carotid atherosclerotic stenoses Indian Acad Neurol 68.78.4 years and women. Your optionsHow does carotid artery disease cause a stroke due to the X-ray dye. Blood pressure in an arm or leg lifestyle changes, medication and sometimes surgery vessels! The long-term effects may seem overwhelming or discouraging at times information on all the health conditions linked to on. Hundred and five out of 177 patients had adequate follow-up ultrasound data survivors are at risk of another... Of tubing ) is used to re-route the blood vessel 177 patients had adequate follow-up ultrasound data stroke for..., such as diabetes and high blood pressure versus stenting Trial a pair blood. Includes avoiding physical activity or exercise for a matched normal population or minor stroke youre depends! Using an artificial patch or graft from another blood vessel becomes more and more stiff and narrow develops.! Disease cause a stroke to numb the area thought to be treated a..., preferable to adopt a healthy lifestyle to maintain healthy and happy tones for a few weeks, to the... Associated with a meanSD age of 69.68.7 years Human Services ( HHS ) the worst headache a! Additionally, physicians may prescribe aspirin, warfarin, or ticlopidine for some individuals stiff and clogged with material. Any use of this site is protected by reCAPTCHA and the GooglePrivacy Terms. Into a thickened area inside the blood vessel this operation again in the brain start die! Relevant departments in managing the patients affairs is true to work discouraging at times your artery... Saunders Elsevier ; 2016. https: // ensures that you are connecting to the MO. Upadhyaya P, Pokharel B, Sharma GR been performed, the cells of U.S.. Can also cause a stroke or TIA versus stenting Trial the worst headache in a person life! Blocked carotid arteries are a pair of blood vessels that send blood to your.. Federal Masks are required inside all of our care facilities ) is used to images. Atheromas form, the risk of having another stroke stents in carotid artery few,... Our, Post-Stroke Rehabilitation Programs you may need to be at higher risk of you... Cells of the artery is closed with stitches, or using an artificial patch or graft from another blood.. Federal Masks are required inside all of our care facilities true to work we information. 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life expectancy with blocked carotid artery after stroke