Treatment of intractable uremic pericardial effusion. Avoidance of pericardiectomy with local steroid instillation

Publisher Website
Google Scholar
Abstract
Patients (45) with uremic pericardial effusion were treated with local instillation of nonabsorbable steroid through an indwelling pericardial drainage catheter and followed up from 1-54 mo. In these patients previous intensive dialysis and other attempts at control of the effusions were unsuccessful. The average hospitalization for percutaneous therapy was 8 days. An asymptomatic internal mammary artery fistula developed in 1 patient. Another had resolution of her pericardial effusion but not of associated pericardial pain. She subsequently underwent pericardiectomy (stripping), without resolution of her pain. One patient had a recurrence of her effusion 6 mo. after therapy. Complications of this technique are rare. The relatively noninvasive drainage and local instillation of a nonabsorbable steroid is almost universally effective.

This publication has 1 reference indexed in Scilit: