A Curious case of Bradycardia and Cardiac Arrest following Transesophageal Endobronchial Ultrasound-Guided Needle Aspiration (EUS-B-NA). Vasovagal Cardiac arrest after EUS-B-NA

Main Article Content

Ram Niwas
Benhur Joel Shadrach
Kunal Deokar
Naveen Dutt
Priyank Jain

Keywords

EUS-B-NA, vasovagal, cardiac arrest, atropine

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 cardiac arrest 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.

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