{
  "abstract": "Severe coronary artery disease associated with the requirement for urgent cervical spine surgery in an elderly patient in a prone position is challenging for the anesthesiologist. Perioperative hemodynamic parameters are key to surgical success. Intra-aortic balloon counterpulsation (IABC) is a well-established modality for the management of patients with ischemic heart disease. There are very few case reports on management in noncardiac surgery with IABC. Here, we present a case report of a 74-year-old male patient with cervical cord compression scheduled for C3-C7 laminectomy and lateral mass fixation, with severe coronary artery disease and a recent history of severe coronary artery disease with triple-vessel disease and severely impaired left ventricular function, managed with IABC insertion post-induction of general anesthesia for intraoperative hemodynamic management to prevent cervical cord hypoperfusion and perioperative myocardial ischemia/infarction.",
  "abstract_shown": true,
  "affiliations": [
    "Anaesthesiology, Fortis Hospitals, Bangalore, IND",
    "Anaesthesiology, Fortis Hospital, Bangalore, IND"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Priya Motiani"
    },
    {
      "affs": [
        1
      ],
      "name": "Swathi Mallikarjuna"
    },
    {
      "affs": [
        1
      ],
      "name": "Murali Chakravarthy"
    },
    {
      "affs": [
        1
      ],
      "name": "Shafiya Shaikh"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bf6y9tvkebdk0.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.117179",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13719311/?tool=EBI",
  "id": "bf6y9tvkebdk0",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13719311",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Anesthesiology"
    ],
    [
      "heading",
      "Cardiology"
    ],
    [
      "heading",
      "Neurosurgery"
    ],
    [
      "openalex",
      "2746|Hemodynamic Monitoring and Therapy"
    ]
  ],
  "openalex": "W7214800505",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13719311/pdf/?tool=EBI",
  "pmcid": "PMC13719311",
  "pmid": "42964022",
  "published": "2026-09-29",
  "publisher": "Cureus Inc.",
  "ris": "https://research.draconitic.com/paper/bf6y9tvkebdk0.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T12:21:37Z",
      "native_id": "PMC:PMC13719311",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13719311"
    },
    {
      "first_seen": "2026-11-02T12:23:17Z",
      "native_id": "PMC13719311",
      "source": "pmc",
      "url": "https://doi.org/10.7759/cureus.117179"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "heading:Cardiology",
      "subfield": "cardiovascular"
    },
    {
      "field": "medicine",
      "origin": "heading:Anesthesiology",
      "subfield": "surgery"
    }
  ],
  "title": "Intra-aortic Balloon Counterpulsation-Assisted Cardiac Support in the Anesthetic Management of Surgery for Acute Cervical Spine Compression With Severe Coronary Artery Disease in the Prone Position",
  "title_text": "Intra-aortic Balloon Counterpulsation-Assisted Cardiac Support in the Anesthetic Management of Surgery for Acute Cervical Spine Compression With Severe Coronary Artery Disease in the Prone Position",
  "type": "peer-reviewed",
  "updated_at": "2026-11-03T12:20:23Z",
  "url": "https://research.draconitic.com/paper/bf6y9tvkebdk0",
  "venue": "Cureus",
  "versions": []
}