26
Treatment
Revascularization in Patients With CKD
COR LOE
Recommendations
1 C-LD 1. In patients with CKD undergoing contrast media injection for
coronary angiography, measures should be taken to minimize
the risk of contrast-induced AKI.
1 C-EO 2. In patients with STEMI and CKD, coronary angiography and
revascularization are recommended, with adequate measures
to reduce the risk of AKI.
2a B-NR 3. In high-risk patients with NSTE-ACS and CKD, it
is reasonable to perform coronary angiography and
revascularization, with adequate measures to reduce the risk
of AKI.
2a C-EO 4. In low-risk patients with NSTE-ACS and CKD, it is
reasonable to weigh the risk of coronary angiography and
revascularization against the potential benefit.
3: No
benefit
B-R 5. In asymptomatic patients with stable CAD and CKD, routine
angiography and revascularization are NOT recommended if
there is no compelling indication.
Revascularization in Pregnant Patients
COR LOE
Recommendations
2a C-LD 1. In pregnant patients with STEMI not caused by SCAD,
it is reasonable to perform primary PCI as the preferred
revascularization strateg y.
2a C-LD 2. In pregnant patients with NSTE-ACS, an invasive strateg y
is reasonable if medical therapy is ineffective for the
management of life-threatening complications.
Revascularization in Older Patients
COR LOE
Recommendation
1 B-NR 1. In older adults, as in all patients, the treatment strateg y for
CAD should be based on an individual patient's preferences,
cognitive function, and life expectancy.
Special Populations and Situations
