Related Experiment Video
Updated: May 7, 2026

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
Percutaneous ultrasound-guided central venous catheters: the lateral in-plane technique for internal jugular vein
Umberto G Rossi1, Paolo Rigamonti, Vladimira Tichà
1Department of Diagnostic Sciences, Radiology and Interventional Radiology Unit, San Carlo Borromeo Hospital, Milano - Italy.
Purpose:
To describe the possible ultrasound guidance techniques for the insertion of central venous catheters (CVCs), with emphasis particularly to the lateral short axis in-plane technique.
Methods:
Numerous articles have shown significant benefits of using ultrasound guidance for venous access. Two main approaches to vein puncture are available, when considering visualization of the needle during its entry into the vein under the ultrasound beam: in-plane and out-of-plane, which can be combined with two types of vein visualization, placing the ultrasound probe on the vein long axis or short axis.
Results:
Advantages and limitations in internal jugular vein (IJV) cannulation for long-term dialysis CVCs are described for the above-mentioned approaches and visualizations. The lateral short axis in-plane technique has virtually no limitations, ensuring most benefits.
Conclusions:
The lateral short axis in-plane technique should be considered the first-line technique for IJV cannulation.
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