{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T17:06:28Z","timestamp":1754154388737,"version":"3.41.2"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,24]]},"DOI":"10.7759\/cureus.88644","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T08:28:45Z","timestamp":1753345725000},"source":"Crossref","is-referenced-by-count":0,"title":["Anesthetic Management of High-Output Heart Failure in Aortocaval Fistula Using Intra-aortic Balloon Occlusion: A Case Report"],"prefix":"10.7759","author":[{"given":"Keisuke","family":"Sumii","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroe","family":"Hamaguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichiro","family":"Goto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.23736\/S0392-9590.24.05221-0","article-title":"Aorto caval fistulas","volume":"43","author":"Davidovic LB","year":"2024","unstructured":"Davidovic LB, Koncar IB, Jovanovic AL, et al.. Aorto caval fistulas. Int Angiol. 2024, 43:394-403. 10.23736\/S0392-9590.24.05221-0","journal-title":"Int Angiol"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.36660\/abcimg.2023369i","article-title":"Aortocaval fistula: a rare complication of ruptured abdominal aortic aneurysm","volume":"36","author":"Gomes KE","year":"2023","unstructured":"Gomes KE, Sanvesso EK, Joviliano EE, Ribeiro MS, Zampieri EH. Aortocaval fistula: a rare complication of ruptured abdominal aortic aneurysm. Arq Bras Cardiol. 2023, 36:e369. 10.36660\/abcimg.2023369i","journal-title":"Arq Bras Cardiol"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1148\/rg.2021210004","article-title":"Aortic fistulas: pathophysiologic features, imaging findings, and diagnostic pitfalls","volume":"41","author":"Gulati A","year":"2021","unstructured":"Gulati A, Kapoor H, Donuru A, Gala K, Parekh M. Aortic fistulas: pathophysiologic features, imaging findings, and diagnostic pitfalls. Radiographics. 2021, 41:1335-51. 10.1148\/rg.2021210004","journal-title":"Radiographics"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2018181215","article-title":"Aortocaval fistula at 4D flow MRI: visualization and quantification of vascular flow","volume":"289","author":"Lebenatus A","year":"2018","unstructured":"Lebenatus A, Salehi Ravesh M. Aortocaval fistula at 4D flow MRI: visualization and quantification of vascular flow. Radiology. 2018, 289:617. 10.1148\/radiol.2018181215","journal-title":"Radiology"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000457","article-title":"Vascular graft infections, mycotic aneurysms, and endovascular infections: a scientific statement from the American Heart Association","volume":"134","author":"Wilson WR","year":"2016","unstructured":"Wilson WR, Bower TC, Creager MA, et al.. Vascular graft infections, mycotic aneurysms, and endovascular infections: a scientific statement from the American Heart Association. Circulation. 2016, 134:e412-60. 10.1161\/CIR.0000000000000457","journal-title":"Circulation"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2014.02.011","article-title":"Bedside ultrasound diagnosis of an aortocaval fistula in the emergency department","volume":"47","author":"Egan DJ","year":"2014","unstructured":"Egan DJ, Saul T, Herbert-Cohen D, Lewiss RE. Bedside ultrasound diagnosis of an aortocaval fistula in the emergency department. J Emerg Med. 2014, 47:e55-7. 10.1016\/j.jemermed.2014.02.011","journal-title":"J Emerg Med"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1148\/rg.291075185","article-title":"Aortoenteric fistulas: CT features and potential mimics","volume":"29","author":"Vu QD","year":"2009","unstructured":"Vu QD, Menias CO, Bhalla S, et al.. Aortoenteric fistulas: CT features and potential mimics. Radiographics. 2009, 29:197-209. 10.1148\/rg.291075185","journal-title":"Radiographics"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.5761\/atcs.cr.10.01626","article-title":"Preoperative computed tomographic diagnosis of an aortocaval fistula associated with aneurysm of the abdominal aorta","volume":"17","author":"Oda T","year":"2011","unstructured":"Oda T, Yasunaga H, Hosokawa Y, Nomura Y, Shojima T, Zaima Y, Kawara T. Preoperative computed tomographic diagnosis of an aortocaval fistula associated with aneurysm of the abdominal aorta. Ann Thorac Cardiovasc Surg. 2011, 17:531-3. 10.5761\/atcs.cr.10.01626","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.10084","article-title":"Diagnostic criteria for locating acquired arteriovenous fistulas with color Doppler sonography","volume":"30","author":"Li JC","year":"2002","unstructured":"Li JC, Cai S, Jiang YX, Dai Q, Zhang JX, Wang YQ. Diagnostic criteria for locating acquired arteriovenous fistulas with color Doppler sonography. J Clin Ultrasound. 2002, 30:336-42. 10.1002\/jcu.10084","journal-title":"J Clin Ultrasound"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3109\/10976640009146570","article-title":"An aortocaval fistula diagnosed with 1.5-T magnetic resonance angiography","volume":"2","author":"Walter F","year":"2000","unstructured":"Walter F, Blum A, Quirin-Cosmidis I, Bauer P, Pinelli G, Roland J. An aortocaval fistula diagnosed with 1.5-T magnetic resonance angiography. J Cardiovasc Magn Reson. 2000, 2:213-6. 10.3109\/10976640009146570","journal-title":"J Cardiovasc Magn Reson"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.14430","article-title":"High output heart failure secondary to aorto-caval fistula treated with an amplatzer septal occluder: case report and review of literature","volume":"13","author":"Charif F","year":"2021","unstructured":"Charif F, Nassar P, Youssef D, Neghawi Z, Saab M. High output heart failure secondary to aorto-caval fistula treated with an amplatzer septal occluder: case report and review of literature. Cureus. 2021, 13:e14430. 10.7759\/cureus.14430","journal-title":"Cureus"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.13528","article-title":"Chronic aortocaval fistula presenting as right heart failure: a case report and review of literature","volume":"13","author":"Kumar S","year":"2021","unstructured":"Kumar S, Mogalapalli A, Milunski MR. Chronic aortocaval fistula presenting as right heart failure: a case report and review of literature. Cureus. 2021, 13:e13528. 10.7759\/cureus.13528","journal-title":"Cureus"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.70352\/scrj.cr.24-0094","article-title":"Ilio-iliac arteriovenous fistula secondary to a ruptured right common iliac artery aneurysm and anomalous anatomy of inferior vena cava resulting in an arteriovenous shunt formation with right-sided cardiac failure: a case report","volume":"11","author":"Shirai Y","year":"2025","unstructured":"Shirai Y, Saito A, Tanaka C, Moriyama Y, Ito Y, Ishibashi K, Motomura N. Ilio-iliac arteriovenous fistula secondary to a ruptured right common iliac artery aneurysm and anomalous anatomy of inferior vena cava resulting in an arteriovenous shunt formation with right-sided cardiac failure: a case report. Surg Case Rep. 2025, 11:10.70352\/scrj.cr.24-0094","journal-title":"Surg Case Rep"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1136\/emj.17.3.223","article-title":"Aorto caval fistula--the \"bursting heart syndrome\"","volume":"17","author":"Leigh-Smith S","year":"2000","unstructured":"Leigh-Smith S, Smith RC. Aorto caval fistula--the \"bursting heart syndrome\". J Accid Emerg Med. 2000, 17:223-5. 10.1136\/emj.17.3.223","journal-title":"J Accid Emerg Med"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.16.4.327","article-title":"B-type natriuretic peptide: a review of its diagnostic, prognostic, and therapeutic monitoring value in heart failure for primary care physicians","volume":"16","author":"Cardarelli R","year":"2003","unstructured":"Cardarelli R, Lumicao TG Jr. B-type natriuretic peptide: a review of its diagnostic, prognostic, and therapeutic monitoring value in heart failure for primary care physicians. J Am Board Fam Pract. 2003, 16:327-33. 10.3122\/jabfm.16.4.327","journal-title":"J Am Board Fam Pract"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2024.06.004","article-title":"AST\/ALT ratio as an indicator of functional severity in chronic heart failure with reduced left ventricular ejection fraction: a prospective cross-sectional study","volume":"76","author":"Priyanka S","year":"2024","unstructured":"Priyanka S, Morkar D. AST\/ALT ratio as an indicator of functional severity in chronic heart failure with reduced left ventricular ejection fraction: a prospective cross-sectional study. Indian Heart J. 2024, 76:202-6. 10.1016\/j.ihj.2024.06.004","journal-title":"Indian Heart J"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.3400\/avd.cr.12.00106","article-title":"Surgical repair of ruptured abdominal aortic aneurysm with non-bleeding aortocaval fistula","volume":"6","author":"Unosawa S","year":"2013","unstructured":"Unosawa S, Kimura H, Niino T. Surgical repair of ruptured abdominal aortic aneurysm with non-bleeding aortocaval fistula. Ann Vasc Dis. 2013, 6:209-11. 10.3400\/avd.cr.12.00106","journal-title":"Ann Vasc Dis"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(91)90218-J","article-title":"Aortocaval and iliac arteriovenous fistulas: recognition and treatment","volume":"13","author":"Brewster DC","year":"1991","unstructured":"Brewster DC, Cambria RP, Moncure AC, et al.. Aortocaval and iliac arteriovenous fistulas: recognition and treatment. J Vasc Surg. 1991, 13:253-64. 10.1016\/0741-5214(91)90218-J","journal-title":"J Vasc Surg"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.7326\/M21-2781","article-title":"Accuracy of ultrasound jugular venous pressure height in predicting central venous congestion","volume":"175","author":"Wang L","year":"2022","unstructured":"Wang L, Harrison J, Dranow E, Aliyev N, Khor L. Accuracy of ultrasound jugular venous pressure height in predicting central venous congestion. Ann Intern Med. 2022, 175:344-51. 10.7326\/M21-2781","journal-title":"Ann Intern Med"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.001375","article-title":"Right versus left ventricular failure: differences, similarities, and interactions","volume":"129","author":"Friedberg MK","year":"2014","unstructured":"Friedberg MK, Redington AN. Right versus left ventricular failure: differences, similarities, and interactions. Circulation. 2014, 129:1033-44. 10.1161\/CIRCULATIONAHA.113.001375","journal-title":"Circulation"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s10741-022-10282-2","article-title":"Right ventricular failure in left heart disease: from pathophysiology to clinical manifestations and prognosis","volume":"28","author":"Dini FL","year":"2023","unstructured":"Dini FL, Pugliese NR, Ameri P, et al.. Right ventricular failure in left heart disease: from pathophysiology to clinical manifestations and prognosis. Heart Fail Rev. 2023, 28:757-66. 10.1007\/s10741-022-10282-2","journal-title":"Heart Fail Rev"},{"key":"ref22","article-title":"Coronary circulation","volume":"8","author":"Shunichi O","year":"2011","unstructured":"Shunichi O. Coronary circulation. Japanese J Pediatr. 2011, 8:1163-9.","journal-title":"Japanese J Pediatr"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-21-00189","article-title":"Phasic flow patterns of right versus left coronary arteries in patients undergoing clinical physiological assessment","volume":"17","author":"Seligman H","year":"2022","unstructured":"Seligman H, Nijjer SS, van de Hoef TP, et al.. Phasic flow patterns of right versus left coronary arteries in patients undergoing clinical physiological assessment. EuroIntervention. 2022, 17:1260-70. 10.4244\/EIJ-D-21-00189","journal-title":"EuroIntervention"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2014.03.015","article-title":"Aortocaval fistula associated with ruptured abdominal aortic aneurysm","volume":"28","author":"Nakazawa S","year":"2014","unstructured":"Nakazawa S, Mohara J, Takahashi T, Koike N, Takeyoshi I. Aortocaval fistula associated with ruptured abdominal aortic aneurysm. Ann Vasc Surg. 2014, 28:1793.e5-9. 10.1016\/j.avsg.2014.03.015","journal-title":"Ann Vasc Surg"},{"key":"ref25","article-title":"A case of abdominal aortic aneurysm - inferior vena cava fistula","volume":"40","author":"Imamura T","year":"2019","unstructured":"Imamura T, Fujimoto R, Komatsu H, et al.. A case of abdominal aortic aneurysm - inferior vena cava fistula. Kanto J Japanese Assoc Acute Med. 2019, 40:226-8.","journal-title":"Kanto J Japanese Assoc Acute Med"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer408","article-title":"Paediatric cardiomyopathy and anaesthesia","volume":"108","author":"Ing RJ","year":"2012","unstructured":"Ing RJ, Ames WA, Chambers NA. Paediatric cardiomyopathy and anaesthesia. Br J Anaesth. 2012, 108:4-12. 10.1093\/bja\/aer408","journal-title":"Br J Anaesth"},{"key":"ref27","article-title":"Anesthetic considerations in patients with cardiomyopathies --a review","volume":"20","author":"Thiagarajah PH","year":"2009","unstructured":"Thiagarajah PH, Thiagarajah S, Frost EA. Anesthetic considerations in patients with cardiomyopathies --a review. Middle East J Anaesthesiol. 2009, 20:347-54.","journal-title":"Middle East J Anaesthesiol"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.4274\/balkanmedj.galenos.2024.2024-1-21","article-title":"Comparison of mean arterial pressure and abdominal perfusion pressure for organ dysfunctions","volume":"41","author":"Yanatma S","year":"2024","unstructured":"Yanatma S. Comparison of mean arterial pressure and abdominal perfusion pressure for organ dysfunctions. Balkan Med J. 2024, 41:155-6. 10.4274\/balkanmedj.galenos.2024.2024-1-21","journal-title":"Balkan Med J"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1097\/MCC.0b013e3283532b8a","article-title":"Lactate as a hemodynamic marker in the critically ill","volume":"18","author":"Fuller BM","year":"2012","unstructured":"Fuller BM, Dellinger RP. Lactate as a hemodynamic marker in the critically ill. Curr Opin Crit Care. 2012, 18:267-72. 10.1097\/MCC.0b013e3283532b8a","journal-title":"Curr Opin Crit Care"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1177\/0267659109353966","article-title":"Correlation of brain tissue oxygen tension with cerebral near-infrared spectroscopy and mixed venous oxygen saturation during extracorporeal membrane oxygenation","volume":"24","author":"Tyree K","year":"2009","unstructured":"Tyree K, Tyree M, DiGeronimo R. Correlation of brain tissue oxygen tension with cerebral near-infrared spectroscopy and mixed venous oxygen saturation during extracorporeal membrane oxygenation. Perfusion. 2009, 24:325-31. 10.1177\/0267659109353966","journal-title":"Perfusion"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-10-1","article-title":"Retrospective study of the effectiveness of intra-aortic balloon occlusion (IABO) for traumatic haemorrhagic shock","volume":"10","author":"Irahara T","year":"2015","unstructured":"Irahara T, Sato N, Moroe Y, Fukuda R, Iwai Y, Unemoto K. Retrospective study of the effectiveness of intra-aortic balloon occlusion (IABO) for traumatic haemorrhagic shock. World J Emerg Surg. 2015, 10:1. 10.1186\/1749-7922-10-1","journal-title":"World J Emerg Surg"},{"key":"ref32","article-title":"The role of intraoperative transesophageal echocardiography in management of cardiac anesthesia","volume":"29","author":"Ide M","year":"2009","unstructured":"Ide M. The role of intraoperative transesophageal echocardiography in management of cardiac anesthesia. J Japan Soc Clin Anesth. 2009, 29:563-77.","journal-title":"J Japan Soc Clin Anesth"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2021.01.016","article-title":"Primary undifferentiated pleomorphic cardiac sarcoma presenting as right heart failure","volume":"16","author":"Ugarte S","year":"2021","unstructured":"Ugarte S, Sandhu RS, Sung J, Knopf KB. Primary undifferentiated pleomorphic cardiac sarcoma presenting as right heart failure. Radiol Case Rep. 2021, 16:829-34. 10.1016\/j.radcr.2021.01.016","journal-title":"Radiol Case Rep"},{"key":"ref34","article-title":"Esophageal varices without portosystemic venous pressure gradient in a patient with post-pericardiotomy constrictive pericarditis: a case report","volume":"45","author":"Ozaki K","year":"2005","unstructured":"Ozaki K, Kodama M, Yamashita F, et al.. Esophageal varices without portosystemic venous pressure gradient in a patient with post-pericardiotomy constrictive pericarditis: a case report. J Cardiol. 2005, 45:161-4.","journal-title":"J Cardiol"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1007\/BF03012463","article-title":"Massive gastrointestinal hemorrhage after transoesophageal echocardiography probe insertion","volume":"45","author":"St-Pierre J","year":"1998","unstructured":"St-Pierre J, Fortier LP, Couture P, H\u00e9bert Y. Massive gastrointestinal hemorrhage after transoesophageal echocardiography probe insertion. Can J Anaesth. 1998, 45:1196-9. 10.1007\/BF03012463","journal-title":"Can J Anaesth"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1583\/09-2725.1","article-title":"Endovascular stent-graft repair of major abdominal arteriovenous fistula: a systematic review","volume":"16","author":"Antoniou GA","year":"2009","unstructured":"Antoniou GA, Koutsias S, Karathanos C, Sfyroeras GS, Vretzakis G, Giannoukas AD. Endovascular stent-graft repair of major abdominal arteriovenous fistula: a systematic review. J Endovasc Ther. 2009, 16:514-23. 10.1583\/09-2725.1","journal-title":"J Endovasc Ther"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.12.074","article-title":"Aorto-caval fistula from acute rupture of an abdominal aortic aneurysm treated with a hybrid approach","volume":"49","author":"Siepe M","year":"2009","unstructured":"Siepe M, Koeppe S, Euringer W, Schlensak C. Aorto-caval fistula from acute rupture of an abdominal aortic aneurysm treated with a hybrid approach. J Vasc Surg. 2009, 49:1574-6. 10.1016\/j.jvs.2008.12.074","journal-title":"J Vasc Surg"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.118.313186","article-title":"Open and endovascular management of aortic aneurysms","volume":"124","author":"Swerdlow NJ","year":"2019","unstructured":"Swerdlow NJ, Wu WW, Schermerhorn ML. Open and endovascular management of aortic aneurysms. Circ Res. 2019, 124:647-61. 10.1161\/CIRCRESAHA.118.313186","journal-title":"Circ Res"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.12081","article-title":"Long-term outcomes associated with open vs endovascular abdominal aortic aneurysm repair in a Medicare-matched database","volume":"5","author":"Yei K","year":"2022","unstructured":"Yei K, Mathlouthi A, Naazie I, Elsayed N, Clary B, Malas M. Long-term outcomes associated with open vs endovascular abdominal aortic aneurysm repair in a Medicare-matched database. JAMA Netw Open. 2022, 5:e2212081. 10.1001\/jamanetworkopen.2022.12081","journal-title":"JAMA Netw Open"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2020.0813","article-title":"Endovascular and open repair of abdominal aortic aneurysm","volume":"117","author":"Schmitz-Rixen T","year":"2020","unstructured":"Schmitz-Rixen T, B\u00f6ckler D, Vogl TJ, Grundmann RT. Endovascular and open repair of abdominal aortic aneurysm. Dtsch Arztebl Int. 2020, 117:813-9. 10.3238\/arztebl.2020.0813","journal-title":"Dtsch Arztebl Int"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2015.09.006","article-title":"Aortocaval fistula: is endovascular repair the preferred solution?","volume":"31","author":"Orion KC","year":"2016","unstructured":"Orion KC, Beaulieu RJ, Black JH 3rd. Aortocaval fistula: is endovascular repair the preferred solution?. Ann Vasc Surg. 2016, 31:221-8. 10.1016\/j.avsg.2015.09.006","journal-title":"Ann Vasc Surg"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.1583\/10-3296.1","article-title":"Inferior vena cava stent-graft placement to treat endoleak associated with an aortocaval fistula","volume":"18","author":"Melas N","year":"2011","unstructured":"Melas N, Saratzis A, Saratzis N, Lazaridis I, Kiskinis D. Inferior vena cava stent-graft placement to treat endoleak associated with an aortocaval fistula. J Endovasc Ther. 2011, 18:250-4. 10.1583\/10-3296.1","journal-title":"J Endovasc Ther"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/381290-anesthetic-management-of-high-output-heart-failure-in-aortocaval-fistula-using-intra-aortic-balloon-occlusion-a-case-report","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T08:28:46Z","timestamp":1753345726000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/381290-anesthetic-management-of-high-output-heart-failure-in-aortocaval-fistula-using-intra-aortic-balloon-occlusion-a-case-report"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,24]]},"references-count":42,"URL":"https:\/\/doi.org\/10.7759\/cureus.88644","relation":{},"ISSN":["2168-8184"],"issn-type":[{"type":"print","value":"2168-8184"}],"subject":[],"published":{"date-parts":[[2025,7,24]]}}}