The authors aimed to delineate the risk factors and radiologic pattern of s
troke complicating cardiac catheterization. Twenty-two cases were matched w
ith three control subjects. Stroke was significantly associated with severi
ty of coronary artery disease and length of fluoroscopy time (OR 1.96 and 1
.65). The use of MRI with diffusion weighting allowed the identification of
multiple asymptomatic lesions and a subset of lacunar-type infarcts (23%),
which most likely occurred on an atheroembolic basis.