Stroke complicating cardiac catheterization: A preventable and treatable complication

Rajiv Sankaranarayanan, Adel Msairi, Gershan K. Davis*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

25 Citations (Scopus)


Stroke is a rare but serious complication of cardiac catheterization. Due to the low incidence of stroke complicating catheterization of the left heart, there is no clearly defined optimal treatment. With increasing numbers of diagnostic and interventional cardiac procedures being performed, definitive management pathways for periprocedural neurological complications need to be defined. Many studies have shown excellent results with both thrombolytic and catheter-based neurovascular rescue, but equal attention should be paid to identify measures to prevent this iatrogenic complication. It is also imperative that management decisions be taken jointly by the cardiologist and stroke physician. We review the literature regarding the features of ischemic stroke complicating cardiac catheterization, the various management modalities and suggest a management protocol.

Original languageEnglish
Pages (from-to)40-45
Number of pages6
JournalJournal of Invasive Cardiology
Issue number1
Publication statusPublished - 31 Jan 2007


  • Cerebrovascular Accident
  • Clinical Trials
  • Coronary Angiography
  • Coronary Arteriosclerosis
  • Heart Catheterization
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Primary Prevention
  • Prognosis
  • Risk Assessment
  • Survival Rate
  • Thrombolytic Therapy
  • Tomography, X-Ray Computed
  • fibrinolytic agent
  • heparin
  • streptokinase
  • tissue plasminogen activator
  • urokinase
  • computer assisted tomography
  • continuous infusion
  • coronary artery bypass graft
  • diffusion weighted imaging
  • disease predisposition
  • heart catheterization
  • percutaneous transluminal angioplasty
  • stroke
  • transesophageal echocardiography


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