Open AccessEffect of Elective Coronary Angiography on Glomerular Filtration Rate in Patients with Advanced Chronic Kidney Disease
Author(s) -
Nicola Kumar,
Lynn Dahri,
Wendy Weinstock Brown,
Neill Duncan,
Swati Singh,
Christopher Baker,
Iqbal Malik,
Andrew J. Palmer,
Megan Griffith,
Tom Cairns,
David Taube
Publication year - 2009
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.01480209
Subject(s) - medicine , renal function , coronary angiography , kidney disease , angiography , cardiology , disease , urology , myocardial infarction
Preemptive transplantation is ideal for patients with advanced chronic kidney disease (CKD). The practice has been to perform coronary angiography (CA) on all patients aged >50, all diabetics, and all patients with cardiac symptoms or disease with a view to revascularization before transplantation. Historically patients have delayed CA until established on renal replacement therapy due to concerns of precipitating the need for chronic dialysis. The objectives of this study were to establish the risk of contrast nephropathy in patients with advanced CKD who undergo screening CA, and to determine whether or not preemptive transplantation is achievable.