Journal of the American College of Cardiology
Focused Update
2009 Focused Updates: ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction (Updating the 2004 Guideline and 2007 Focused Update) and ACC/AHA/SCAI Guidelines on Percutaneous Coronary Intervention (Updating the 2005 Guideline and 2007 Focused Update)A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Frederick G. Kushner, Mary Hand, Sidney C. Smith Jr, Spencer B. King III, Jeffrey L. Anderson, Elliott M. Antman, Steven R. Bailey, Eric R. Bates, James C. Blankenship, Donald E. Casey Jr, Lee A. Green, Judith S. Hochman, Alice K. Jacobs, Harlan M. Krumholz, Douglass A. Morrison, Joseph P. Ornato, David L. Pearle, Eric D. Peterson, Michael A. Sloan, Patrick L. Whitlow and David O. Williams
Table 9
Table 9
Recommendation for Angiography in Patients With Chronic Kidney Disease
| 2004/2005/2007 Recommendation: 2007 PCI Guidelines Update, Table 9 | 2009 PCI Focused Update Recommendation | Comments |
|---|---|---|
| Class I | ||
| 2. In chronic kidney disease patients undergoing angiography, isosmolar contrast agents are indicated and are preferred. (Level of Evidence: A) | 1. In patients with chronic kidney disease undergoing angiography who are not undergoing chronic dialysis, either an isosmolar contrast medium (19,119) (Level of Evidence: A) or a low-molecular-weight contrast medium other than ioxaglate or iohexol is indicated (19). (Level of Evidence: B) | Modified recommendation (changed text). |
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