Peritoneal dialysis for the treatment of pericarditis in patients on chronic hemodialysis

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Published on: July 19, 2018

G F Cohen, J H Burgess, M Kaye

    Canadian Medical Association Journal
    |June 20, 1970
    PubMed

    Insights

    Pericarditis with effusion in hemodialysis patients improved with peritoneal dialysis. This approach may prevent the need for surgical pericardial drainage, offering a less invasive treatment option for kidney disease complications.

    Area of Science:

    • Nephrology
    • Cardiology
    • Infectious Diseases

    Background:

    • Pericarditis with effusion is a serious complication in patients undergoing hemodialysis.
    • Infection can precipitate pericarditis in hemodialysis patients even with good biochemical control.
    • Conventional hemodialysis may not effectively manage fluid accumulation in these cases.

    Purpose of the Study:

    • To report three cases of pericarditis with effusion in hemodialysis patients.
    • To evaluate the efficacy of peritoneal dialysis in managing this condition.
    • To recommend peritoneal dialysis as a treatment to expedite recovery and potentially avoid surgical intervention.

    Main Methods:

    • Case series reporting on three patients with pericarditis and effusion.
    • Management involved initial continuation of hemodialysis, including regional heparinization.
    • Transition to peritoneal dialysis for patients with persistent fluid accumulation.

    Main Results:

    • Hemodialysis, even with heparin, led to continued fluid accumulation in all reported cases.
    • Institution of peritoneal dialysis resulted in significant clinical improvement in all three patients.
    • Peritoneal dialysis effectively managed the effusion and associated symptoms.

    Conclusions:

    • Peritoneal dialysis is an effective treatment for pericarditis with effusion in hemodialysis patients.
    • This therapeutic approach may accelerate resolution and prevent the need for artificial pericardial drainage.
    • Early consideration of peritoneal dialysis is recommended for managing this complication.

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