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Hickman catheters (or Hickman lines) are a type of tunneled central venous access line.
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Hickman catheters are typically inserted into either jugular vein, and the proximal tubing is tunneled through the subcutaneous tissues to a skin incision on the chest. The distal part of the catheter therefore follows the normal course of a jugular venous catheter, with its tip in the region of the superior cavoatrial junction. The proximal end of the catheter projects over the chest in the subcutaneous tissues, and the connector hubs may or may not be visible depending on how they have been moved to acquire the radiograph.
- chemotherapy administration 2
- parenteral nutrition 2
- long-term parenteral antibiotic administration 2
- arrhythmia (most common) 1
- arterial injury
- infection (most common) 1,2
- occlusion, commonly due to fibrin sheath formation
- 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.
- 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 - Pubmed
- 2. Galloway S & Bodenham A. Long-Term Central Venous Access. Br J Anaesth. 2004;92(5):722-34. doi:10.1093/bja/aeh109 - Pubmed
- 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 - Pubmed
- 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].