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Vagus nerve-induced cardiac arrest during percutaneous nephrolithotomy: a clinical challenge.


ABSTRACT:

SUBMITTER: Wang B 

PROVIDER: S-EPMC12905929 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature

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Vagus nerve-induced cardiac arrest during percutaneous nephrolithotomy: a clinical challenge.

Wang Bingyi B   Wang Xiaodan X   Wang Chen C   Chen Zitian Z   Han Qiaoyu Q   Feng Yi Y   Zhang Ran R   Jiang Luyang L  

BMC anesthesiology 20260120 1


BACKGROUND: Vagal overexcitation is a rare trigger of cardiac arrest during percutaneous nephrolithotomy, and is closely related to the abundant vagal branches in the renal hilum region. When surgical instruments or high-pressure perfusion directly stimulate the vagus nerve, sudden bradycardia or even asystole may be triggered. CASE PRESENTATION: A 56-year-old man undergoing percutaneous nephrolithotomy under general anesthesia experienced cardiac arrest due to vagus nerve stimulation following  ...[more]

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