Joint British Transplantation Society and British Cardiovascular Society guideline on invasive coronary angiography and elective coronary artery revascularisation in adult potential kidney transplant recipients

Cardiovascular disease is a significant cause of morbidity and mortality in kidney transplant candidates and recipients. Cardiac investigation prior to kidney transplant listing has aimed to minimise the risk of early post-operative cardiac events or premature death. Invasive coronary angiography and coronary revascularisation may be considered as part of pre-transplant work up, but there is limited evidence to support this strategy in asymptomatic patients. The joint British Transplantation Society and British Cardiovascular Society guideline on ‘Cardiovascular assessment of potential adult kidney transplant recipients’ has been written to harmonise UK practice and highlight current evidence in this area. This manuscript summarises the relevant recommendations from chapters related to coronary angiography and coronary revascularisation in adult patients being assessed for kidney transplantation.