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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2021; 08(03): 207-210
DOI: 10.1055/s-0040-1712081
Case Report

Endovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist

Navneh Samagh
1   Department of Anesthesiology, All India Institute of Medical Sciences, Bathinda, Punjab, India
,
Nidhi Singh
2   Department of Anaesthesia and Intensive care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Kiran Jangra
2   Department of Anaesthesia and Intensive care, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Ajay Kumar
3   Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Abstract

A 41-year-old male patient, a known case of autosomal dominant polycystic kidney disease (ADPCKD), presented to our institute with right middle cerebral artery aneurysm for which balloon-assisted endovascular coiling was planned. The major comorbidities were hypertension and end-stage renal disease (ESRD) on hemodialysis, twice weekly. Endovascular coiling was performed under general anesthesia, and special precautions were taken with regard to monitoring, fluid management, use of heparin, and contrast agent. The intraoperative and postoperative course was uneventful, and the patient was discharged after 7 days. In this report, various perioperative challenges of patients with chronic renal failure during coiling are discussed along with the measures to prevent the occurrence of contrast-induced nephropathy.

Keywords

autosomal dominant polycystic kidney disease - contrast induced nephropathy - end-stage renal disease - endovascular coiling - iso-osmolar contrast medium


Publication History

Article published online:
01 June 2020

© 2020. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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