27
Revascularization in Patients Before Noncardiac Surgery
COR LOE
Recommendation
3: No
benefit
B-R 1. In patients with non-left main or noncomplex CAD who
are undergoing noncardiac surgery, routine coronary
revascularization is NOT recommended solely to reduce
perioperative cardiovascular events.
Table 6. Best Practices in the Catheterization Laboratory for
Patients With CKD Undergoing Angiography
• Assess the risk of contrast-induced AKI before the procedure.
• Administer adequate preprocedural hydration.
• Record the volume of contrast media administered, and minimize contrast use.
• Pretreat with high-intensity statins.
• Use radial artery if feasible.
• Do not administer N-acetyl-L-cysteine to prevent contrast-induced AKI.
• Do not give prophylactic renal replacement therapy.
• Delay CABG in stable patients after angiography beyond 24 hours when clinically
feasible.
Revascularization in Patients to Reduce Ventricular
Arrhythmias
COR LOE
Recommendations
1 B-NR 1. In patients with ventricular fibrillation, polymorphic VT,
or cardiac arrest, revascularization of significant CAD is
recommended to improve survival.
3: No
benefit
C-LD 2. In patients with CAD and suspected scar-mediated sustained
monomorphic VT, revascularization is NOT recommended
for the sole purpose of preventing recurrent VT.
