Ports and lines
Travelling with a port or line
Generally yes, you can fly. A port sits entirely under the skin and is unaffected by cabin pressure. A PICC line needs its dressing kept dry and intact. The questions that actually decide a trip are your counts, where you are in the cycle, and where you would go if you became unwell.
The short answer
Can I fly with a chemo port or PICC line?
Generally yes. A port sits entirely under the skin and is unaffected by cabin pressure or altitude. A PICC line needs its dressing kept dry and intact, which matters more on a long journey. Neither is a reason not to travel by itself.
The questions that actually decide a trip are different ones: where you are in the cycle, what your counts are, whether flushing or a dressing change will fall during the trip, and where you would go if you became unwell. Ask your oncologist about those rather than about the device.
Airport security is not a problem
A port may or may not set off a scanner and either way it is easily explained. Carry your device card and treatment summary, mention it to the officer, and expect nothing more than a brief conversation.
Plan the flushing and dressing around the trip
This is the part people forget. If a flush or a dressing change falls while you are away, arrange it before you go or find somewhere at the destination that can do it. Do not simply skip it.
Ask your team for a short letter stating you have an implanted device and are on treatment. It smooths everything.What to carry
The paperwork and supplies to take
- A letter from your team
- Stating that you have an implanted port or a PICC line, that you are on chemotherapy, and giving the hospital's contact numbers. Ask for it well before you travel rather than the day before.
- The device card
- The make and type of your port, issued when it was placed. Useful at security, and essential if anybody else has to access or investigate the device while you are away.
- Your treatment summary and medicine list
- So that a doctor at the destination can understand your situation in a minute. Keep copies on two phones as well as on paper, and in hand luggage rather than checked bags.
- Spare dressings, for a PICC line
- Plus whatever waterproof cover your team recommends. Products you rely on may not be available at the destination, so take more than the trip needs.
- All your medicines, in hand luggage
- In original packaging with the prescription, and more than the trip requires in case of delays. Ask about storage if anything needs refrigeration.
- The name of a hospital at the destination
- One that could manage a fever in someone on chemotherapy. Find it before you go, not at two in the morning in an unfamiliar city.
Not sure whether this applies to you?
Ask an oncologistOn the journey
What to do while travelling
Four things, and the clot risk on long flights is the one that matters most.
Move on long flights
Walk the aisle when you can, move ankles and feet in your seat, and drink water steadily. Cancer and some treatments already raise clot risk, and a long flight adds to it.
Ask your team about
- Compression stockings
- Any additional precaution for your case
Protect the site from straps
Move a bag strap off the shoulder over a port, and pad a seatbelt if it presses. For a PICC line, keep the dressing clear of straps and keep it dry.
Say it at security
Mention the device to the officer before screening, show the card, and ask for a manual check if you prefer. It is a routine conversation and not something to be anxious about.
Have ready
- The device card and the letter
- Medicines in original packaging
Avoid crowds in the low-count stretch
Airports and aircraft are crowded enclosed spaces. Ask your team which part of the cycle to travel in, and about masks if they advise them for you.
A fever, or shivering uncontrollably · redness, swelling, warmth or discharge at the port or line site · a swollen, painful, warm calf after a flight · sudden breathlessness or chest pain · pain or swelling in the neck, shoulder or arm on that side · swelling of the face or neck · the dressing coming off a PICC line with the tube exposed · nothing staying down. Say the person is on chemotherapy and has an implanted device, and hand over the treatment summary and device card. Do not wait to get home.
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Being straight with you
What this page cannot tell you
It cannot tell you whether you should make the trip. That depends on your counts, where you are in the cycle, how long the journey is, what medical facilities exist at the destination and what your insurance covers. Only your oncologist can weigh those for you.
It also cannot tell you an airline's or airport's rules. Requirements for medical letters, carrying needles or syringes and travelling with medicines differ, so check with the airline in advance and get anything unusual in writing.
Insurance is the part most often overlooked
Many travel policies exclude a pre-existing cancer diagnosis or need it declared in advance. Check specifically and in writing before booking, because an admission abroad for a fever is expensive.
What to do next
Ask your oncologist which part of the cycle to travel in and whether the trip is advisable at all. Get a letter and your device card. Plan the flushing or dressing around the dates. Find a hospital at the destination. Declare your diagnosis to the insurer. And carry everything in hand luggage.
Commonly believed
Four assumptions about travelling with a device
A port sits entirely under the skin and is unaffected by cabin pressure or altitude. The genuine travel questions are your counts, where you are in the cycle, and the clot risk on a long flight, not the device itself.
It is a routine conversation. Mention the device before screening, show the card, and ask for a manual check if you prefer. It may or may not set off a scanner, and either way it is easily explained.
Missed flushes are the commonest avoidable reason a port blocks, and a PICC dressing left too long risks infection. Arrange it before you go or find somewhere at the destination, rather than skipping it.
Many policies exclude a pre-existing cancer diagnosis or require it declared in advance. Check specifically and in writing before booking. An admission abroad for a fever is expensive and entirely foreseeable.
Questions we are asked
Common questions about travelling with a port or line
Is flying safe with a port?
Generally yes. The device itself is unaffected by cabin pressure. What needs discussing is your counts, where you are in the cycle, the length of the flight and the clot risk on long journeys.
Will it set off airport security?
It may or may not. Mention it before screening, show your device card, and ask for a manual check if you prefer. Carry a short letter from your team stating you have an implanted device.
What if a flush falls due while I am away?
Arrange it before you go, or find a clinic at the destination that can do it. Do not skip it, since missed flushes are the commonest avoidable reason a port blocks.
Can I travel with a PICC line?
Usually, with the dressing kept dry and intact. Take spare dressings and whatever waterproof cover your team recommends, and plan a dressing change if one falls during the trip.
What should I carry in hand luggage?
All your medicines in original packaging with the prescription, the treatment summary, the device card, the letter from your team, spare dressings and your team's phone numbers. More medicine than the trip needs.
What about the clot risk on a long flight?
Real, and worth raising specifically, because cancer and some treatments already raise it. Walk the aisle, move your ankles, drink water, and ask your team about compression stockings and any other precaution.
When in the cycle should we travel?
Usually the days before the next cycle, when counts have recovered, rather than the low-count stretch. Ask your team to point at a window in your own schedule.
What if I fall ill at the destination?
Go to a hospital the same day for a fever or anything on the warning list, and hand over the treatment summary and device card. Find a suitable hospital before you travel rather than searching in an emergency.
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Sources
- Cancer Research UK — Travel and cancer
- Macmillan Cancer Support — Travel and holidays
- National Cancer Institute — Chemotherapy and You
This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.
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