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Percutaneous intrapericardial injection of triamcinolone in a patient with incessant pericarditis: a novel technique

Sarah A Ramer1, John L Sapp

  • 1Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada. sarah.ramer@cdha.nshealth.ca

The Canadian Journal of Cardiology
|November 15, 2012
PubMed

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.

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