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
