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Our patient was a preterm female infant, born at 26 weeks’ 4 days' gestation (birth weight, 930 g). At age 45 days, when she had reached a weight of 2300 g, she began parenteral nutrition (PN) via a silicone catheter (Epicutaneo-Cava Catheter 2F/24G; Vygon, Aachen, Germany) inserted through a left preauricular vein, using the percutaneous technique of Shaw.1 The tip of the percutaneous long line (PLL) was radiologically localized in the superior vena cava.
Costa S, De Carolis MP, Fusco FP, Savarese I, Tesfagabir MG, Romagnoli C. Skin Ulceration in a Preterm Infant: A Warning Sign of a Percutaneous Long Line Complication. Arch Dermatol. 2011;147(4):512-514. doi:10.1001/archdermatol.2011.73