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. 2022 Nov 12:02676591221137760. doi: 10.1177/02676591221137760

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© The Author(s) 2022

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Figure 2. — (a) Ultrasound guided micro-puncture access is obtained in the right brachial vein (BV) and a 4–6F sheath is inserted. (b). A 4–6F omniflush or pigtail catheter is taken from BV access and parked in SV, a selective venogram is obtained to avoid cephalic-basilic T junction. (c). A 7 cm .021gauge micro-puncture needle is advanced in pectoralis groove. (d). Under direct fluoroscopic guidance, the needle is targeted in the loop of the omniflush or pigtail catheter. Wire entry into subclavian vein is confirmed under fluoroscopy, and 4–6F sheath is inserted into the SV.