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The Foley catheter.

Abstract

In the third of our biographical series tracing the origination of some of today's most commonly used surgical instruments and the people behind them, Professor Ellis explores the history of the catheter, and the breakthrough design by American urologist Frederick Foley.

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Harold Ellis. 2006. The Foley catheter.. https://doi.org/10.1177/175045890601600406

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Immune heparin-induced thrombocytopenia (HIT) is a life-threatening adverse effect of heparin. It can result from any type of heparin exposure and by any route of administration; however only a few cases are reported after exposures to small quantities of heparin from catheter flushes. The major clinical problem associated with HIT is thrombosis. Early detection and institution of alternative, non-heparin anticoagulation are important. We report a patient with HIT associated with use of therapeutic-dose unfractionated heparin in whom immune sensitization to heparin was triggered by two 500-unit exposure to UFH associated with intravascular catheter flushing for antineoplastic chemotherapy in a patient with colon adenocarcinoma.

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