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April 1977

Cardiac Tamponade Treatment

Author Affiliations

Long Beach, Calif

Arch Intern Med. 1977;137(4):542-543. doi:10.1001/archinte.1977.03630160098026

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To the Editor.—  The September 1976 issue of the Archives (136:979-982, 1976) contains an article by Fuller et al on intractable uremic pericarditis. The article states that an alternative to surgical drainage was proposed by Buselmeier et al in an article published in 1973.I would like to take this opportunity to indicate work done as early as 1971 by Dr D. DeCristofaro and me.At that time, we submitted an abstract to the American Society for Artificial Internal Organs meeting held in Seattle from April 16 to 18, 1072, and related our experience with three patients who developed cardiac tamponade while receiving chronic hemodialysis. Catheters were placed in the pericardial sac and were left in place for seven days in each instance and aspirated twice daily or more frequently if signs of tamponade developed. Although corticosteroids were not instilled in the pericardial sac at that time, we did use this

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