Predicting need for surgical drainage of pericardial effusion in patients with end-stage renal disease.
The best approach to treatment of pericarditis accompanied by substantial pericardial effusion in end-stage renal disease (ESRD) patients is unknown. In a review of our experience, we found that ESRD patients with moderate-to-large or large (circa 250 mL or larger) pericardial effusions usually failed to improve with intensive dialysis and ultimately required surgical drainage of the effusion. Multivariate analysis revealed that effusion size was by far the most important factor predicting need for surgery. Since early pericardial drainage obviates the risk of sudden tamponade, we recommend that surgery without prior intensive dialysis therapy be considered in such patients.
Leehey
D J
DJ
Department of Medicine, Veterans Administration Hospital, Hines.
Daugirdas
J T
JT
Popli
S
S
Gandhi
V C
VC
Pifarré
R
R
Ing
T S
TS
D004322:Drainage; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D015999:Multivariate Analysis; D010490:Pericardial Effusion / Q000209:etiology / Q000601:surgery*; D010491:Pericardial Window Techniques; D010493:Pericarditis / Q000209:etiology; D006435:Renal Dialysis / Q000009:adverse effects