Intrapericardial Triamcinolone Instillation for Recurrent Pericardial Effusion in Pediatric Patients: A Review of Efficacy and Safety - Report - MDSpire

Intrapericardial Triamcinolone Instillation for Recurrent Pericardial Effusion in Pediatric Patients: A Review of Efficacy and Safety

  • By

  • Abhiram Reddy

  • Daniel Peck

  • Daniel Cortez

  • Bibhuti Das

  • John Bass

  • Varun Aggarwal

  • May 27, 2026

  • 0 min

Share

Clinical Report: Efficacy and Safety of Intrapericardial Triamcinolone Injection

Overview

This report reviews the efficacy and safety of intrapericardial triamcinolone injection for treating recurrent pericardial effusion in children based on a retrospective case series.

Background

Recurrent pericardial effusion in children is a significant clinical challenge, often requiring repeated interventions. Current treatment options include systemic corticosteroids, which can lead to adverse effects, and intrapericardial triamcinolone has emerged as an alternative.

Data Highlights

This report is based on a retrospective case series conducted from 2015 to 2025, involving children who received intrapericardial triamcinolone for recurrent pericardial effusion.

Key Findings

  • Intrapericardial triamcinolone was administered at a dose of 300 mg/m2 during pericardiocentesis.
  • Patients were monitored for recurrence of pericardial effusion post-treatment.
  • Adverse events, including adrenal insufficiency, were noted in some patients.
  • The study included children under 18 years with a history of recurrent pericardial effusion.
  • Follow-up data were collected retrospectively to assess treatment outcomes.

Clinical Implications

Clinicians should be vigilant about potential systemic adverse effects associated with intrapericardial triamcinolone.

Conclusion

Intrapericardial triamcinolone injection is evaluated for recurrent pericardial effusion in children.

Related Resources & Content

  1. Maisch et al., European Heart Journal, 2002 -- Intrapericardial Triamcinolone in Autoreactive Pericardial Effusion
  2. van der Werff et al., Pediatric Cardiology, 2021 -- Assessing the Effectiveness, Safety, and Adverse Reactions of Intrapericardial Triamcinolone
  3. Pediatric Cardiology, 2022 -- Comparative Effectiveness of Corticosteroids, NSAIDs, and Colchicine
  4. Retinal Physician — Careful Use of Intravitreal Triamcinolone
  5. Pediatric Cardiology — Effectiveness of Short-Term Oral Prednisolone in Treating Pericardial Effusion Post Pediatric Cardiac Surgery
  6. https://academic.oup.com/eurheartj/article/46/40/3952/8234483
  7. https://academic.oup.com/eurheartj/article-pdf/23/19/1503/17885177/1503.pdf
  8. Pericardial Diseases: International Position Statement on New Concepts and Advances in Multimodality Cardiac Imaging - PMC

Original Source(s)

Related Content