THE INCIDENCE of chronic renal failure (CRF) in children is unknown, but current data suggest that 1.5
to 3 children per million develop end-stage renal disease (ESRD) each year.

The prevalence of CRF in the pediatric population worldwide is approximately 18 per million.

It has been reported that approximately 8% of adults on dialysis and 20% to 30% of children on dialysis have
abnormal urinary tracts.1 The registry of the North America Pediatric Renal Transplantation society confirms that different forms of obstructive uropathy (including reflux and dysplasia)

were not significantly different with regard to mean donor and recipient ages, and sex distribution. We also divided our patients
into two groups (before versus after 1996,) seeking to match patients by immunosuppressive drugs and year of transplantation.

Rejection was clinically diagnosed when a patient exhibitedtenderness over the graft site, swelling of the graft on ultrasonography, persistent fever, oliguria, hypertension, and progressive elevation of serum creati nine.

Biopsy was performed in cases of suspected rejection; the diagnosis was confirmed by increased
mesengial matrix, increased lobularity, decreased glomerular size and hyalinization, and vascular and tubular lesions. Children
returned to chronic dialysis, those who required retransplantation, and those who died of renal complications were all considered to have lost their grafts.

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“Dr.Sam Zeraatiannejd Davani”

I wonder if you have heard about the Cardiac Resynchronization Therapy. There exist a lot of patients with low output Cardiac failure and low LVEF or ejection fraction, as a result of Coronary Artery Disease, Dilated Cardiomyopathy, or Valvular Heart Disease.

There exist some cases who are not good candidate for transplantation or as a result of paucity or lack of adequate donor or suitable donor for these patients, these patients unfortunately pass away during their waiting list so we have to do alternative technics.

Here you are in Iran, in Ay Health  center in Rasool Akram Hospital, we have performed more than one hundred cases of Cardiac Resynchronization Therapy (via) Anterolateral Thoracotomy which can increase the Cardiac LVEF more than fiftteen to twenty percenst in these patients and alleviate all of their symptoms especially their Dyspnia and Exertion and especially their chest pain and especially their complications as result of Cardiac Failure, just like Pleural Effusion or right side heart failure and another issue to take into consideration while speaking about Cardiac Resynchronization Therapy or battery pacemaker insertion for the patients it can impede the further alteration in the rythm of the patients just like impeding the further venticular, Tachyarrhythmia or Venticular Fibrillation and etc.

So, in order to do so, you can call and contact with mrs. Haghi in Ay Health in order to do that operation in Rasool Akram Hospital, Syou can share your information , send your diagrams, your Echocardiography, your Angiogram and your documentations in order to assess them and then give you your all feedbacks.

Really appreciate you.

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