September 1, 1974Archives of Internal Medicine
Management of Uremic Pericarditis With Tamponade
Why the study?
Does a pericardial window have the same efficacy and safety as generous pericardiectomy in patients with uremic pericarditis and tamponade?
Population
15 patients with uremic pericarditis and pericardial tamponade unresponsive to intensive hemodialysis, from…
Comparison
Surgical management with a 'pericardial window' vs More extensive surgical procedure
Design
Case_series
Follow-up
up to 4 years
Authors
Discussion
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Member takes
Implication
Supports pericardial window as alternative in refractory uremic pericarditis; leaves open randomized confirmation versus pericardiectomy.
Structured PICO
Does a pericardial window have the same efficacy and safety as generous pericardiectomy in patients with uremic pericarditis and tamponade?
P
Population
15 patients with uremic pericarditis and pericardial tamponade unresponsive to intensive hemodialysis, from a cohort of 179 patients on long-term hemodialysis.
I
Intervention
Surgical management with a 'pericardial window'
C
Comparator
More extensive surgical procedure (generous pericardiectomy)
O
Outcome
Surgical mortality, long-term complications, and efficacy at up to 4 years follow-uphard clinical
Surgical management, specifically a pericardial window, is a safe and effective long-term treatment for uremic pericarditis with tamponade that is unresponsive to hemodialysis.
Cite This Study
Friedrich C. Luft (1974) studied this question.