Photoscanning effectively detects pericardial effusion in chronic uremia, revealing a high prevalence in this population compared to those on chronic hemodialysis.
May support targeted pericardial assessment in chronic uremia; leaves open whether screening improves outcomes in current populations.
Pericardial effusions were detected by photoscanning in 17 of 34 patients with chronic uremia. Both iodinated I 131 serum albumin and pertechnetated Tc 99m serum albumin were used; the latter produced photoscans with better contrast and resolution. The occurrence of effusion was not closely related to the degree of azotemia. Symptomatic tamponade developed in six patients and responded to pericardiocentesis in five patients, but recurred and required partial pericardectomy in one patient. Pericardial effusion was infrequent in patients treated by chronic hemodialysis: two instances in 33 patients over 421 patient-months.
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Marvin B. Cohen (1968) studied this question.
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