<prompt> Answer this question truthfullyCan individuals with end-stage renal disease undergo coronary artery bypass surgery?  <response>: <reason> Class IIb 1. In patients with preoperative renal dysfunction creatinine clearance 60 mLmin, off-pump CABG may be reasonable to reduce the risk of acute kidney injury AKI. Level of Evidence: B 2. In patients with preexisting renal dysfunction undergoing on-pump CABG, maintenance of a perioperative hematocrit greater than 19 and mean arterial pressure greater than 60 mm Hg may be reasonable. Level of Evidence: C 3. In patients with preexisting renal dysfunction, a delay of surgery after coronary angiography may be reasonable until the effect of radiographic contrast material on renal function is assessed. Level of Evidence: B 4. The effectiveness of pharmacological agents to provide renal protection during cardiac surgery is uncertain. Level of Evidence: B 