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A) Cross-sectional view of the left internal jugular vein with needle in lumen. B) Longitudinal view of guidewire in lumen of left internal jugular vein.
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The neck was prepped in sterile fashion and the left internal jugular vein was cannulated under dynamic ultrasound guidance using a Zonare Z.One PRO ultrasound system (Mountain View, California) (Figure 2a). The guidewire was then gently advanced into the vein (Figure 2b), and the catheter was subsequently advanced over the wire.