Treatment of uremic pericardial effusion by local steroid instillation via subxiphoid pericardiotomy.
Seven maintenance hemodialysis patients suffering from intractable uremic pericardial effusion were treated with instillation of a non-absorbable steroid, triamcinolone hexacetonide, into the pericardial sac via a large-bore catheter. The latter was placed under direct vision by subxiphoid pericardiotomy. All patients responded to the treatment while complications of the procedure were few and minor.
D004322:Drainage; D006801:Humans; D008722:Methods; D010490:Pericardial Effusion / Q000188:drug therapy* / Q000209:etiology; D010496:Pericardium; D014222:Triamcinolone Acetonide / Q000008:administration & dosage*; D014511:Uremia / Q000150:complications*
D014222:Triamcinolone Acetonide