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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Thieme Medical and Scientific Publishers Pvt. Ltd.
2020
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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) |
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autosomal dominant polycystic kidney disease contrast induced nephropathy end-stage renal disease endovascular coiling iso-osmolar contrast medium Anesthesiology RD78.3-87.3 |
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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 |
work_keys_str_mv |
AT navnehsamagh endovascularcoilinginapatientwithchronickidneydiseaseachallengeforanesthesiologist AT nidhisingh endovascularcoilinginapatientwithchronickidneydiseaseachallengeforanesthesiologist AT kiranjangra endovascularcoilinginapatientwithchronickidneydiseaseachallengeforanesthesiologist AT ajaykumar endovascularcoilinginapatientwithchronickidneydiseaseachallengeforanesthesiologist |
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