Clinical Study

A Shallow Angle Short-Axis Out-of-Plane Approach Reduces the Rate of Posterior Wall Injuries in Central Venous Catheterization: A Simulation Study

Figure 1

Conventional short-axis out-of-plane approach. The needle insertion site is close to the ultrasound probe, and the angle is adjusted to match the (simulated) internal jugular vein. This standard technique may result in a steep angle of the needle to match the internal jugular vein. Using this approach, posterior vein wall injuries were more common and difficult to identify.