Here is a version
(multi-transform
(multi-path
[map? empty? :a (putval {}) :x NIL->VECTOR AFTER-ELEM (terminal-val 6)]
[(must :a) vector? empty? BEFORE-ELEM (terminal-val {:x [6]})]
[(must :a) vector? some? (nthpath 1) map? :x AFTER-ELEM (terminal-val 6)])
m)
Of course you could set more complex data with terminal-val (like setval), or swap out some of the navigation for clojure functions used with terminal (local transform function).
And you could probably do it also with a normal cond + predicates, and a more simple navigation.