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Cureus . Extracorporeal Membrane Oxygenation (ECMO) Cannula Stimulation of the Carotid Sinus Causing Bradycardic Pauses in a Patient With COVID-19

tetano

Editor, Senior Moderator
Cureus


. 2023 Apr 16;15(4):e37652.
doi: 10.7759/cureus.37652. eCollection 2023 Apr. Extracorporeal Membrane Oxygenation (ECMO) Cannula Stimulation of the Carotid Sinus Causing Bradycardic Pauses in a Patient With COVID-19

John Dayco[SUP] 1 [/SUP], Justin Pawloski[SUP] 1 [/SUP], Caleb Sokolowski[SUP] 1 [/SUP], Dhruvil Patel[SUP] 1 [/SUP], Micheal Rits[SUP] 1 [/SUP], Grace Goodrich[SUP] 1 [/SUP], Saliha Erdem[SUP] 2 [/SUP], M Chadi Alraies[SUP] 3 [/SUP]



Affiliations
Abstract

Veno-venous extracorporeal membrane oxygenation (VV-ECMO) cannulation is a potential cause of episodic bradycardia during an intensive care course because of the proximal cannula insertion site being in the vicinity of the carotid sinus. Herein, we report the case of episodic bradycardia throughout a multi-week intensive care stay of a VV-ECMO recipient due to a severe coronavirus disease 2019 (COVID-19) infection that did not emerge for the rest of the patient's hospitalization after decannulation.

Keywords: bradycardia; cardiac assist devices; covid; electrocardiogram; vv ecmo.

 
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