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 2

Short-axis out-of-plane approach with shallow angle of entry using a needle navigation system. The needle enters the skin further from the probe, approximately 1 cm cephalad, which allows for a shallow angle of entry toward the simulated internal jugular vein. The needle is inclined at approximately 30° to the target vein.