Hickman catheter
Hickman catheters (or Hickman lines) are a type of tunnelled central venous access line.
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Indications
- chemotherapy administration 2
- parenteral nutrition 2
- long-term parenteral antibiotic administration 2
Complications
Insertion
- arrhythmia (most common) 1
- arterial injury
- kinking
- pneumothorax
- failure
Long-term
- infection (most common) 1,2
- occlusion
- thrombosis
- tip migration
History and etymology
In the late 1970s, Robert O Hickman (1926-2019) 4, was a Fellow in pediatric nephrology, at the University of Washington in Seattle. He was asked by the bone marrow transplant nurses to create a new catheter for their patients. He modified the then widely-used Broviac catheter to create the Hickman catheter. The only difference was one of size, at that time the Broviac catheter was a 6.5 French gauge (Fr) catheter, whilst the original Hickman catheter was 9.6 Fr 3.
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approach
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chest x-ray
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