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

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...

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Autores principales: Navneh Samagh, Nidhi Singh, Kiran Jangra, Ajay Kumar
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Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020
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Acceso en línea:https://doaj.org/article/5d7b5dd124094f65a953ecf5902754c9
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spelling oai:doaj.org-article:5d7b5dd124094f65a953ecf5902754c92021-12-02T23:53:13ZEndovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist2348-05482348-926X10.1055/s-0040-1712081https://doaj.org/article/5d7b5dd124094f65a953ecf5902754c92020-06-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1712081https://doaj.org/toc/2348-0548https://doaj.org/toc/2348-926XA 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.Navneh SamaghNidhi SinghKiran JangraAjay KumarThieme Medical and Scientific Publishers Pvt. Ltd.articleautosomal dominant polycystic kidney diseasecontrast induced nephropathyend-stage renal diseaseendovascular coilingiso-osmolar contrast mediumAnesthesiologyRD78.3-87.3ENJournal of Neuroanaesthesiology and Critical Care, Vol 08, Iss 03, Pp 207-210 (2020)
institution DOAJ
collection DOAJ
language EN
topic autosomal dominant polycystic kidney disease
contrast induced nephropathy
end-stage renal disease
endovascular coiling
iso-osmolar contrast medium
Anesthesiology
RD78.3-87.3
spellingShingle autosomal dominant polycystic kidney disease
contrast induced nephropathy
end-stage renal disease
endovascular coiling
iso-osmolar contrast medium
Anesthesiology
RD78.3-87.3
Navneh Samagh
Nidhi Singh
Kiran Jangra
Ajay Kumar
Endovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist
description 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.
format article
author Navneh Samagh
Nidhi Singh
Kiran Jangra
Ajay Kumar
author_facet Navneh Samagh
Nidhi Singh
Kiran Jangra
Ajay Kumar
author_sort Navneh Samagh
title Endovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist
title_short Endovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist
title_full Endovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist
title_fullStr Endovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist
title_full_unstemmed Endovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist
title_sort endovascular coiling in a patient with chronic kidney disease—a challenge for anesthesiologist
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate 2020
url https://doaj.org/article/5d7b5dd124094f65a953ecf5902754c9
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AT nidhisingh endovascularcoilinginapatientwithchronickidneydiseaseachallengeforanesthesiologist
AT kiranjangra endovascularcoilinginapatientwithchronickidneydiseaseachallengeforanesthesiologist
AT ajaykumar endovascularcoilinginapatientwithchronickidneydiseaseachallengeforanesthesiologist
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