An Unusual Vascular Track for Neonatal Peripherally Inserted Central Catheter: A Case Report

Peripherally inserted central catheterization is a common procedure in neonatal intensive care units. However, in preterm low birthweight newborns, achieving good vascular access can be a challenge. We describe our experience in achieving peripherally inserted central catheterization in a preterm baby through an unusual vascular tract. The line inserted through one of the superficial abdominal veins traversed the epigastric vein, the internal thoracic vein, the superior vena cava, and successfully reached the cavoatrial junction. The line was confirmed radiologically and used safely and effectively for almost 20 days.