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CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(02): 379-382
DOI: 10.1055/s-0042-1750811
Case Report

Anesthetic Considerations for a Patient with Autosomal Dominant Polycystic Kidney Disease, Having a Ruptured Intracranial Aneurysm for Endovascular Coiling: A Case Report

Shalvi Mahajan
1   Division of Neuroanaesthesia, Department of Anaesthesia, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Vidhya Narayanan
2   Department of Anaesthesia, Sree Balaji Medical College and Hospital, BIHER, Chennai, Tamil Nadu, India
,
Vikas Bhatia
3   Department of Radiodiagnosis, PGIMER, Chandigarh, India
,
Vinitha Narayan
1   Division of Neuroanaesthesia, Department of Anaesthesia, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
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Abstract

Autosomal dominant polycystic kidney disease (ADPKD) is a genetic disorder affecting 1 in 1,000 people worldwide. Intracranial aneurysms are an important extrarenal complication with a prevalence of 9 to 12%. The definitive management of an aneurysm includes surgical clipping or endovascular coiling. There is a paucity of literature regarding the anesthetic management of such patients. The pre-existing renal condition is an additional challenge in the management of these patients as the complications associated with chronic kidney disease are superimposed on those due to subarachnoid hemorrhage. Here, we describe anesthetic management of a patient with ADPKD who had a ruptured anterior communicating artery aneurysm, for which endovascular coiling was done.

Keywords

autosomal dominant polycystic kidney disease (ADPKD) - cerebrovascular aneurysm - endovascular coiling


Publication History

Article published online:
25 August 2022

© 2022. Asian Congress of Neurological Surgeons. 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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