Fig. 1.

(a) An 82-year-old man with a right arm brachiocephalic fistula and chronic obstruction of the right brachiocephalic vein (arrow). The femoral vein was accessed for recanalization and stent placement. (b) Venography of the left brachiocephalic vein was performed with a radiopaque ruler in place to avoid caging this inflow vein (arrow) during stent deployment. (c) After stent deployment (12 × 40 mm Zilver), the inflows of the right internal jugular (arrow) and left brachiocephalic veins have been spared to preserve future access options.