Difficult PICC case (central vein stenosis)
It appears that the guidewire encountered difficulty during insertion, and upon fluoroscopy examination, it was observed to be bent in a U-shape. Consequently, a venography procedure was performed using a contrast agent, revealing a constriction in the Right innominate vein. As a result, the wire tip, which was initially perpendicular, was reshaped at an angle, allowing it to successfully pass through the narrowed section. Subsequently, a PICC (Peripherally Inserted Central Catheter) was inserted without any issues.
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