Acute Renal Failure Associated with Peripheral Artery Damage due to Limb Trauma

Ferhat Borulu and Bilgehan Erkut*

Department of Cardiovascular Surgery, Atatürk University, Turkey

^*Correspondance to: Bilgehan Erkut 

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Abstract:

Background: Acute renal failure is a dramatic and catastrophic clinical condition that can be
seen in any patient exposed to trauma and can cause undesirable consequences. In this study, the
presence and incidence of acute renal failure was investigated in patients who underwent surgical
intervention relation to arterial vascular damage due to extremity trauma.
Material and Methods: Between January 2017 and December 2020, 101 patients underwent surgical
intervention with the diagnosis of vascular injury due to extremity trauma. Seventy-two of the
patients were male and the others were female. The diagnosis of acute renal failure due to traumarelated
vascular damage was determined using the RIFLE and AKIN criteria (KDIGO guideline
2012) according to KDIGO (Developing Kidney Disease).
Results: The patients consisted of cases with isolated limb vascular damage. Abdominal and
intracranial traumas were excluded from the study. The most common reason for extremity injury
was penetrating injury (firearm and cutting tool) (n=48 patients). Sixty-five of the patients had lower
extremity injuries, 36 had upper extremity injuries. The hospitalization period of the patients was
minimum 2 h and maximum 18 h. While 78 of the patients were taken into emergency surgery after
the emergency department examinations, additional diagnosis method was used for 23 patients. The
end-to-end repair technique was the method we used most frequently among our patients. Acute
renal insufficiency occurred in 34 patients. Hemodialysis was applied to 10 of these patients. Two of
these patients died in the hospital due to kidney failure. Multiple organ deficiency was detected in 2
patients who were admitted to the hospital late. These patients died on days 12 and 21.
Conclusion: Traumatic vascular injuries are among the most important medical problems that
require urgent intervention. Renal destruction is a clinical condition that is not uncommon after
vascular trauma and it may cause increased morbidity and mortality by affecting the duration of
hospital and intensive care stay of patients. These patients should be followed up in intensive care
units in terms of renal insufficiency and, if necessary, emergency hemodialysis should never be
delayed.

Keywords:

Acute renal failure; Lower extremity vascular trauma; Emergency surgery

Cite the Article:

Borulu F, Erkut B. Acute Renal Failure Associated with Peripheral Artery Damage due to Limb Trauma. World J Surg Surgical Res. 2021; 4: 1284..