Hickman Line vs. Ports: What’s the Difference?

Written by: Emily Levy

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Time to read 2 min

In modern medicine, central venous catheters play a vital role in providing long-term access to the bloodstream for patients undergoing treatments such as chemotherapy, dialysis, and intravenous medications. One commonly used catheter is the Hickman line . In this article, we will explore what a Hickman line is, how it compares to other types of central venous catheters, and how to care for it properly.


What is a Hickman line?


A Hickman line is a central venous catheter designed for long-term use. It consists of a soft, flexible tube inserted into a vein in the chest, near the collarbone, and tunneled under the skin. The external portion of the catheter allows for easy access to the bloodstream for administering medications, drawing blood, or delivering nutrients.


Key Features of a Hickman Line:

✔️ Tunneled under the skin for added protection against infections
✔️ Available in single, double, or triple lumens , allowing multiple treatments at once
✔️ Reduces the need for repeated needle sticks
✔️ Designed for long-term use in chronic treatments such as chemotherapy and parenteral nutrition



Hickman Line vs. Ports: What’s the Difference?

While Hickman lines and ports serve similar purposes, they have key differences that may make one more suitable than the other depending on the patient’s needs.

Feature

Hickman Line

Port (Port-a-Cath)

Implantation

External access via an opening in the chest

Fully implanted under the skin

Number of Lumens

Typically multiple lumens for simultaneous treatments

Usually single lumen

Access

Easily accessible for frequent use

Requires a needle to access

Mobility

May restrict movement due to external tubing

Allows for full range of motion

Infection Risk

Higher risk due to external exposure

Lower risk as it is fully implanted

Duration of Use

Designed for long-term use

Can remain implanted for years

Who Needs a Hickman Line?

A Hickman line is often recommended for patients who require frequent or long-term venous access , such as:

  • Cancer patients undergoing chemotherapy

  • Patients receiving total parenteral nutrition (TPN)

  • Individuals requiring frequent blood transfusions

  • Patients with chronic illnesses that require regular intravenous medications

Caring for a Hickman Line

Proper care of a Hickman line is essential to prevent complications such as infection or clotting. Here are some key care tips:

  • Daily cleaning – Follow your healthcare provider’s instructions on cleaning the exit site with antiseptic solutions.

  •  Flushing the line  – Flush the lumens regularly with saline or heparin to prevent clotting.

  • Keeping the area dry – Use waterproof dressings or shower covers to keep the site protected.

  • Checking for signs of infection – Look for redness, swelling, pain, or discharge around the insertion site.

For patients using Hickman lines or Ports,  AquaGuard Shower Covers  can help protect the area during daily activities and showers.

🔗  Shop AquaGuard Shower Sheets 

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→ 5 Common Questions on PICC Line Dressing Changes Answered

→ How to Change Your PICC Line Dressing

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