[Distal ventriculoatrial shunt catheter implantation under fluoroscopy guidance throught the left internal jugular vein as a rescue technique - a case report].

Revision of the distal ventriculoatrial shunt catheter is a rare challenge for the neurosurgeon. Its dysfunction associated with inflammation also binds to systemic complications. The paper presents a case report of a patient with bacterial colonisation of distal ventriculoatrial shunt catheter caused by separation of the layers of a old surgical wound. Catheter was removed by revision of the right internal jugular vein. Out of necessity, the distal catheter has been implanted back into the right atrium through.the left internal jugular vein under fluoroscopy guidance. The paper consist of course of treatment, data from the literature and own description of the implantation way of the catheter through the veins on the left side of the neck.