Presentation
Acute lymphocytic leukemia
Patient Data
Frontal and lateral chest radiographs demonstrate right sided Hickman catheter and left sided port-a-cath in a patient with acute lymphocytic leukemia.
Case Discussion
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.
Port-A-Caths, are a type of central venous catheter for patients requiring long-term venous access. They offer the ability to have long-term central venous access with some of the advantages over peripherally inserted central catheters (PICC).
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