Clinical Research — Dr. Chadi Saad | Home Comfort Dialysis

Peer-Reviewed Publications

Clinical Research
by Dr. Chadi Saad

Published research spanning advanced dialysis management, vascular access complications, and cardio-metabolic nephrology — contributing to the evidence base that guides modern kidney care.

While Dr. Chadi Saad focuses intensely on the operational and clinical side of advanced dialysis and nephrology care at Home Comfort Dialysis, he also contributes to medical education and clinical research. Much of his published work and collaborative research focuses on complex systemic interactions — such as how metabolic or cardiovascular crises impact internal medicine — as well as comprehensive literature reviews to improve clinical outcomes.

Featured Research & Clinical Publications

Cardio-Metabolic Nephrology

Systemic Metabolic Crises & Pancreatic Manifestations

Investigating the downward clinical spiral between Diabetic Ketoacidosis (DKA) and hypertriglyceridemia-induced acute pancreatitis (HTGAP). This research analyzes the physiological feedback loop where severe lipid overloads cause self-hydrolysis of the pancreas — a loop that leads to lipotoxicity and a dangerous downward spiral from HTGAP to DKA.

View on ResearchGate

Vascular Access & Systemic Complications

Intracardiac Central Venous Catheter (CVC) Complications

A massive, 4-decade systematic database review investigating the duration, clinical manifestations, and percutaneous vs. surgical retrieval outcomes of embolized central venous catheter fragments. A critical safety and procedural area for long-term clinical vascular access.

View on ResearchGate

Cardio-Metabolic Nephrology

Substance Abuse Impact on Hyperglycemic Crises

Analyzing the severe clinical outcomes and economic burdens of recreational drug interactions — specifically cocaine misuse — on critical hyperglycemic crises like DKA and Hyperglycemic Hyperosmolar State (HHS).

View on PubMed Central

Cardiovascular Autonomic Neuropathy

Cardiovascular Autonomic Reflex Studies (CARTs)

Clinical case analyses evaluating Advanced Cardiovascular Autonomic Neuropathy (CAN) and Diabetic Autonomic Neuropathy (DAN), examining therapeutic management strategies for severe orthostatic hypotension and severe hypoglycemic unawareness.

View on ResearchGate

Advanced Dialysis & Acute Kidney Injury (AKI) Management

01

Paradoxical Hyperkalemia in Bartter Syndrome Requiring Hemodialysis

A critical case study detailing the management of severe, rebound hyperkalemia and acute kidney injury utilizing urgent, multi-cycle hemodialysis.

HemodialysisElectrolyte DisordersRare PresentationsPublished
02

Rhabdomyolysis-Induced Acute Kidney Injury in Diabetic Emergencies

Clinical research focusing on the critical necessity of prompt creatine kinase monitoring during Hyperosmolar Hyperglycemic States (HHS) to prevent permanent nephrotoxic damage and oliguric renal failure.

AKIRhabdomyolysisDiabetic ComplicationsHHSPublished

Vascular Access & Systemic Complications

01

A Systematic Review of Intracardiac Embolization of Central Venous Catheter (CVC) Fragments

A massive, four-decade systematic database review analyzing the clinical manifestations, duration, and success rates of percutaneous vs. surgical retrieval of embolized catheter fragments. A critical safety and procedural area for long-term clinical vascular access.

Systematic ReviewVascular AccessCVC ComplicationsIntracardiac EmbolizationPublished
02

Coronary to Pulmonary Artery Fistula (CPAF) Analysis

A large-scale systematic review of over 460 adult cases evaluating the diagnosis, non-invasive imaging modalities (including CT coronary angiography), stress testing for coronary steal phenomena, and surgical vs. percutaneous embolization outcomes for associated aneurysms.

Systematic ReviewCoronary FistulaCPAFPercutaneous EmbolizationPublishedSource

Cardio-Metabolic Nephrology Research

01

Insulin Resistance Cascades in HTGAP and DKA

A pathophysiological literature review tracking the dangerous two-way feedback loop where severe hypertriglyceridemia triggers pancreatic self-hydrolysis, cascading into Diabetic Ketoacidosis (DKA).

Insulin ResistanceDKAMetabolic NephrologyHTGAPPublishedSource
02

Pleiotropic Effects of Substance Abuse on Severe Dehydration and AKI

A retrospective analysis investigating multi-system clinical damage, severe dehydration, and sharp increases in mortality when recreational drug interactions trigger acute kidney injury.

AKISubstance AbuseDehydrationPleiotropic EffectsPublished

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