Transcatheter occlusion of ventricular septal defect (VSD) was first reported in 1987.1 Because of short recovery time and little distress, the method has been widely accepted. The most common approach of the procedure is via femoral vein. However, when the inferior vein cava is interrupted or obstructed, it is unfeasible to carry out the procedure via femoral vein. So an altative approach such as intal jugular vein or subclavian vein needs to be considered.