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Coudé (French for elbowed) catheters have a 45° bend at the tip that facilitates easier passage through an enlarged prostate. Councill tip catheters [5] have a small hole at the tip so they can be passed over a wire. Three-way, or triple lumen catheters have a third channel used to infuse sterile normal saline for irrigation.
A coudé catheter, including Tiemann's catheter, is designed with a curved tip that makes it easier to pass through the curvature of the prostatic urethra. [2] A hematuria catheter is a type of Foley catheter used for Post-TURP hemostasis. This is useful following endoscopic surgical procedures, or in the case of gross hematuria.
Thus, the outer diameter of a catheter in millimeters can be calculated by dividing the French size by 3. [2] For example, a catheter with a French size of 9 would have an outer diameter of approximately 3 mm. While the French scale aligns closely with the metric system, it introduces redundancy and the potential for rounding errors.
Pigtail catheter is a non-selective catheter with multiple side holes that can deliver large volumes of contrast into a blood vessel for imaging purposes. [29] Cobra catheter is a selective catheter used to catheterise downgoing vessels in the abdomen. Cobra catheters move forward by pushing and are removed by pulling. [30]
Diagram of a Foley catheter. Foley first described the use of a self-retaining balloon catheter in 1929, to be used to achieve hemostasis after cystoscopic prostatectomy. [2] He worked on development of this design for use as an indwelling urinary catheter, to provide continuous drainage of the bladder, in the 1930s.
In these cases, it is common to insert a central venous catheter. All such catheters placed for the purpose of venous access and being inserted in the upper body will ideally have the tip placed within the superior vena cava at or just above the cavoatrial junction.
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