• Umberto G Rossi, Paolo Rigamonti, Vladimira Tichà, Elena Zoffoli, Antonino Giordano, Maurizio Gallieni, and Maurizio Cariati.
• Department of Diagnostic Sciences, Radiology and Interventional Radiology Unit, San Carlo Borromeo Hospital, Milano - Italy.
• J Vasc Access. 2014 Jan 1;15(1):56-60.

PurposeTo 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.MethodsNumerous 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.ResultsAdvantages 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.ConclusionsThe lateral short axis in-plane technique should be considered the first-line technique for IJV cannulation.

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