title: Percutaneous intrapericardial injection of triamcinolone in a patient with incessant pericarditis: a novel technique.
abstract: Incessant pericarditis is an uncommonly encountered clinical problem that can be extremely difficult to manage. We present a case of incessant pericarditis with multiple recurrences during tapering of systemic corticosteroids. We injected intrapericardial triamcinolone, using a technique originally developed to access the epicardium for catheter ablation. This approach resulted in immediate success, followed by long-term resolution of the patient's pericarditis. This novel technique may be of benefit in this small group of patients and may represent a safer alternative to pericardiectomy for those resistant to oral corticosteroid tapering.
authors.affiliation: Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada. sarah.ramer@cdha.nshealth.ca
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Ramer
authors.forename: John L
authors.initials: JL
authors.lastname: Sapp
mesh_terms: D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D007267:Injections / Q000379:methods; D008297:Male; D008875:Middle Aged; D010493:Pericarditis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D010496:Pericardium; D011859:Radiography; D014221:Triamcinolone / Q000008:administration & dosage*
chemical_list: D005938:Glucocorticoids; D014221:Triamcinolone