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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.
AuthorsSarah A Ramer, John L Sapp
JournalThe Canadian journal of cardiology (Can J Cardiol) Vol. 29 Issue 6 Pg. 751.e1-2 (Jun 2013) ISSN: 1916-7075 [Electronic] England
PMID23148999 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2013 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
Chemical References
  • Glucocorticoids
  • Triamcinolone
Topics
  • Follow-Up Studies
  • Glucocorticoids (administration & dosage)
  • Humans
  • Injections (methods)
  • Male
  • Middle Aged
  • Pericarditis (diagnostic imaging, drug therapy)
  • Pericardium
  • Radiography
  • Triamcinolone (administration & dosage)

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