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Biomedical subjects

B Broumand

Publications and source records attributed to B Broumand.

12 recordsLinked to original sources
PubMed1997

Arteriovenous fistula following nephrectomy.

UNLABELLED: Arteriovenous fistula (AVF) of the renal pedicle is a rare complication of nephrectomy. Since the 1st case report in the literature, 62 cases have been reported in the world literature. A continuous abdominal or lumbar bruit is diagnosed. They may also present with symptoms of congestive heart failure and/or hypertension. METHODS: 37 years following nephrectomy, a case of AVF of the right renal pedicle associated with gross proteinuria is described. RESULTS: The clinical diagnosis was confirmed by aortogram, and the proteinuria subsided after successful surgical management. CONCLUSION: The causes of proteinuria may be due to the hyperfiltration state. To our knowledge, there has been no previous report of this combination in the literature.

Arteriovenous Fistula↗
PubMed1997

Suggested guidelines for treatment of acute renal failure in earthquake victims.

The 1990 Iran earthquake affected two states with a combined population of 2,300,000. It resulted in at least 13,888 deaths, 43,390 injured, and 33,616 hospitalized. The overall mortality among hospitalized patients was 0.17%. Acute renal failure (ARF) requiring dialysis support was diagnosed in 156 patients nationwide, with a mortality rate of 14%. Three teaching hospitals of Tehran University of Medical Sciences (UMS) admitted 495 patients, with total mortality of 7.5%. Of these, 30 patients (6%) required dialysis, with a mortality of 40%, accounting for 12 of the deaths. On admission, patients with ARF were more severely injured and had significantly higher incidence of multiple trauma; peripheral nerve injury; elevated muscle enzymes, potassium, and phosphorus; and abnormal urinalysis. In one of these hospitals, patients were treated with a specific hydration protocol coupled with a cautious approach to fasciotomy. The incidence of ARF, mortality associated with ARF, and fasciotomy were lower in this group. Based on these findings, guidelines are suggested that may be helpful in the treatment of ARF in earthquake victims.

Acute Kidney Injury↗
PubMed1980

Successful renal transplantation in polyarteritis nodosa.

Hemodialysis and renal transplantation were performed in a patient with end stage renal disease caused by polyarteritis nodosa. Severe peripheral neuropathy developed during hemodialysis. Five years after transplantation, marked improvement of the neuropathy associated with adequate function of the allograft has been noted. There has been no detectable clinical or pathologic signs of recurrent disease. These observations favor the consideration of renal transplantation in patients with polyarteritis nodosa and renal failure, particularly in the absence of extensive organ involvement.

Follow-Up Studies↗