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An Unusual Complication of Indwelling Pericardial Catheter and Intrapericardial Steroid Instillation for the Treatment of Uremic Pericarditis

Russell Silverstein, MD; Donald Crumbo, MD; Dewey L. Long, MD; Juha P. Kokko, MD, PhD; Alan R. Hull, MD; Pedro Vergne-Marini, MD

Arch Intern Med. 1978;138(2):308-310.

Abstract
The drainage and instillation of poorly absorbable corticosteroids has recently been suggested as an alternative to the present modes of therapy for uremic pericarditis. One patient who underwent such a therapeutic approach subsequently had a left internal mammary artery to right internal mammary vein arteriovenous fistula develop. To our knowledge, this is the first report of the development of arteriovenous fistula after either pericardiocentesis or intrapericardial instillation of steroids.

(Arch Intern Med 138:308-310, 1978)

Author Affiliations
From the Department of Internal Medicine, University of Texas Health Science Center at Dallas-Southwestern Medical School.

Footnotes
Accepted for publication Feb 1, 1977.

Reprint requests to Department of Internal Medicine, UTHSCD-Southwestern Medical School, 5323 Harry Hines Blvd, Dallas, TX 75235 (Dr Vergne-Marini).

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