Abstract
In Reply.— I am grateful to Dr Twardowski for calling to my attention his report of intrapericardial injections of corticosteroids as a treatment for uremic pericarditis, which no doubt led others later to try to perfect and popularize this method. However, he is not correct when he states that local steroids were always used in conjunction with In the references we cited for treatment of tamponade caused by rheumatoid pericarditis, the patients were treated with aspiration and instillation of deposteroids alone, without prolonged drainage. are also aware of a report of similar management to avoid prolonged drainage or pericardectomy in tamponade from other causes. 1 Those authors concluded, We feel that hemodynamically significant uremic pericardial effusions should be treated first by pericardiocentesis and intrapericardial instillation of triamcinolone hexacetomide. would reserve pericardiectomy for those cases in which loculations prevent adequate aspiration of the effusion or in which tamponade
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: JAMA: The Journal of the American Medical Association
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
