#3368 DIAGNOSTIC YIELD AND CLINICAL SIGNIFICANCE OF SYSTEMATIC CARDIAC SCREENING OF KIDNEY TRANSPLANT CANDIDATES USING CARDIAC COMPUTED TOMOGRAPHY

Abstract Background and Aims Cardiovascular screening of kidney transplant candidates is currently recommended, although the patient value presently questioned. The prognostic ability known, whereas systematic may have less recognized effects such as incidental findings, triggering additional investigations, procedural complications, delay transplantation deselection patients for transplantation. To address this, we characterized diagnostic yield clinical implications cardiovascular disease using cardiac computed tomography (CT) in asymptomatic candidates. Method In a single-centre, observational study, included all potential ≥ 40 years or with diabetes on dialysis treatment 5 years, who were systematically referred to CT (a non-contrast enhanced scan coronary angiography) prior between March 2014 September 2019 North Central Denmark Regions. Patient records examined obtain data baseline characteristics, conference decisions. Results total, 473 underwent CT. programme led investigations 155 (33%) 7% revascularised. Thirty (6%) had significant non-vascular findings CT, but only 4 changed medical management based these findings. Furthermore, no rejected not yet dialysis, slope eGFR decline did change significantly after angiography. Conclusion significance by was limited, one third go through investigations. Few revascularised No evidence contrast-induced acceleration function observed.