[Pathology of vein, artery and heart catheterization. Studies of autopsies].
Among 17,161 autopsies of children and adults 319 cases with complications after catheterization (catheterization of veins, arteries and heart) were analysed. The following pathologo-anatomical findings were established: Haemorrhages, thromboses, thrombophlebitis, incorrect positions of the catheter, embolism after catheterization, perforations of vessels, heart injuries, pleura injuries, pneumo- and haemothorax as well as sepsis and septicopyaemia. The complications were subdivided according to early and late injuries. In 10% the complications after catheterization were directly and indirectly connected with the cause of death. In the clinic the catheterization of the vein is a necessary diagnostic and therapeutic intervention. The evaluation of an extensive autopsy material, however, shows that severe and lethal complications may appear in connection with catheterization. For these reasons a broad use is prohibited. The demand of a strong indication is unrestrictedly to be supported.
D000328:Adult; D001158:Arteries / Q000293:injuries / Q000473:pathology*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D002648:Child; D006335:Heart Injuries / Q000473:pathology; D006470:Hemorrhage / Q000473:pathology; D006801:Humans; D013350:Subclavian Vein / Q000473:pathology; D013927:Thrombosis / Q000473:pathology; D014471:Umbilical Veins / Q000473:pathology; D014680:Veins / Q000293:injuries / Q000473:pathology*
Zur Pathologie des Venen-, Arterien- und Herzkatheterismus. Untersuchungen an Obduktionen.