Hickman catheter
Last revised by Dr Jeremy Jones ◉ on 18 Sep 2021
Citation, DOI & article data
Citation:
Smith, H., Jones, J. Hickman catheter. Reference article, Radiopaedia.org. (accessed on 26 Jun 2022) https://doi.org/10.53347/rID-60181
Permalink:
rID:
60181
Article created:
11 May 2018 by Dr Hamish Smith
Revisions:
8 times by 4 users - see full revision history
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Section:
Tags:
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Synonyms:
- Hickman line
Hickman catheters (or Hickman lines) are a type of tunnelled central venous access line.
On this page:
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.
References
- 1. Ray S, Stacey R, Imrie M, Filshie J. A Review of 560 Hickman Catheter Insertions. Anaesthesia. 1996;51(10):981-5. doi:10.1111/j.1365-2044.1996.tb14972.x
- 2. Galloway S & Bodenham A. Long-Term Central Venous Access. Br J Anaesth. 2004;92(5):722-34. doi:10.1093/bja/aeh109
- 3. Gow K, Tapper D, Hickman R. Between the Lines: The 50th Anniversary of Long-Term Central Venous Catheters. Am J Surg. 2017;213(5):837-48. doi:10.1016/j.amjsurg.2017.03.021
- 4. Robert O. Hickman, MD, Inventor of the Hickman Catheter, Dies at 92. https://www.ascopost.com/issues/may-10-2019/robert-o-hickman-inventor-of-hickman-catheter-dies/ The ASCO post. [accessed 6th June 2019].
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