The cardiac evaluation and management of patients with stage 4 or 5 chronic kidney disease prior to renal transplantation is a collaborative effort between nephrologists and cardiologists. Concerns exist, however, that contrast-induced acute kidney injury occurring as a consequence of coronary angiography has the potential to hasten the progression to dialysis before transplantation.
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The author is a consultant for GE Healthcare.
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McCullough, P. Coronary angiography prior to renal transplantation. Nat Rev Nephrol 6, 136–137 (2010). https://doi.org/10.1038/nrneph.2009.235
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DOI: https://doi.org/10.1038/nrneph.2009.235
