Intrapericardial Treatment in Pericardial Disease

Treatment of chronic resistant paediatric idiopathic pericardial effusion with intrapericardial injection of corticosteroids 4-year-old girl with rapid full resolution after intrapericardial injection of corticosteroids

“…The direct intrapericardial application of drugs has the advantage of giving a high local dose with little systemic side effects. 6 Another study by the same group evaluated the efficacy and safety of intrapericardial treatment with the crystalloid corticosteroid triamcinolone in autoreactive pericardial effusion; it found that it resulted in symptomatic improvement and prevented recurrence in 92.6% of patients after 3 months and in 86.0% after 1 year. 7 The symptoms were preceded by mild upper respiratory tract infection, but there was no history of fever.…”