1976
DOI: 10.1159/000180622
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Uremic Pericardial Effusion

Abstract: Pericardial drainage via percutaneous catheter placement and local nonabsorbable steroid instillation was employed as definitive therapy for uremic patients who had intractable pericardial effusions. Twelve patients are reported. Prior daily dialysis, and in one case systemic steroids, were not curative. 11 of 12 cases suffered severe tamponade requiring pericardiocentesis. One patient had an organized pericardial effusion, making pericardiocentesis impossible. He required pericardiectomy with prolonged hospit… Show more

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Cited by 36 publications
(2 citation statements)
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“…3 Intrapericardial administration of triamcinolone is, by the same token, a good option for recurrent pericarditis and has the added advantage that the steroid is delivered where it contacts the 2 pericardial surfaces. 4 Using a flexible pericardioscope, the medication can be delivered into the pericardial space, even in the absence of effusion.…”
Section: See P 2012mentioning
confidence: 99%
“…3 Intrapericardial administration of triamcinolone is, by the same token, a good option for recurrent pericarditis and has the added advantage that the steroid is delivered where it contacts the 2 pericardial surfaces. 4 Using a flexible pericardioscope, the medication can be delivered into the pericardial space, even in the absence of effusion.…”
Section: See P 2012mentioning
confidence: 99%
“…On the other hand, we have evaluated Busselmeir's technique [2] of intrapericardial instillation of poorly absorbable steroids in approximately 20 patients who have not responded to aggressive hemodialysis and who have had an unresponsive effusion. The results have been excellent, with all patients responding within 72 to 96 hours.…”
Section: University Of Texas Health Science Center Dallas Texas Usamentioning
confidence: 99%