Niwas R, Shadrach BJ, Deokar K, Dutt N, Jain P. A Curious case of Vasovagal Shock following Transesophageal Endobronchial Ultrasound-Guided Needle Aspiration (
EUS-B-NA).
Acta Biomed 2021;
92:e2021133. [PMID:
34747376 PMCID:
PMC10523043 DOI:
10.23750/abm.v92is1.10412]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 08/11/2020] [Indexed: 11/23/2022]
Abstract
Esophageal ultrasound-guided bronchoscopic needle aspiration (EUS-B-NA) is a relatively safe procedure with rare complications. A vasovagal attack after EUS-B-NA has not been reported to date. Usually benign and self-limiting, it can cause refractory bradycardia and sudden cardiac arrest. Timely intervention reduces morbidity and mortality. Here, we report a novel case of vasovagal attack after EUS-B-NA and was managed successfully. Management includes identifying the triggering event and keeping the patient in the Trendelenburg position. Atropine is reserved for refractory cases. (www.actabiomedica.it).
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