{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T12:01:34Z","timestamp":1771156894451,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Internal iliac artery embolization (IIAE) is a critical hemostatic intervention for controlling hemorrhage in patients with hemodynamically unstable pelvic fractures (HUPF). However, the optimal technique\u2014nonselective versus selective embolization\u2014and the choice of embolic materials remain debated. This study compares the efficacy, safety, and clinical outcomes of nonselective embolization (NSE) and selective embolization (SE) techniques in patients with HUPF. A secondary analysis examined the impact of different embolic materials on patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multicenter retrospective study included patients aged 16 and older with HUPF who underwent IIAE. Patients were categorized into NSE or SE groups. Key outcomes included 24\u2010h red blood cell (RBC) transfusion volume, duration of angioembolization (AE), complications, mortality, and infection rates. Propensity score overlap weighting (PSOW) was used for comparisons, with validation via propensity score matching (PSM). Subgroup analyses also employed PSOW to assess outcomes based on embolic materials.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 296 patients with HUPF met the inclusion criteria, with 214 undergoing NSE and 82 receiving SE. After PSOW, near\u2010perfect comparability between the two groups was achieved (SMDs\u00a0=\u00a00). The NSE group had significantly lower 24\u2010h RBC transfusion volumes (2.00 vs. 4.00 units, MD, \u22122 units; 95% CI, \u22122.0 to 0; and\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.018) and shorter AE duration (65 vs. 80\u00a0min, MD, \u221215\u00a0min; 95% CI, \u221220 to \u22125.16; and\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). NSE group also required less 24\u2010h plasma transfusion. Although the NSE group showed higher rates of deep vein thrombosis and urinary tract infection in PSOW analysis, subsequent PSM analysis revealed no significant differences between groups. Similarly, both groups showed comparable rates of other complications, hospital costs, and mortality rates. Subgroup analysis showed that the gelatin sponge (GS) group had higher 24\u2010h RBC transfusion volumes and longer AE durations, though these were not statistically significant. Notably, the GS group had significantly higher rates of pulmonary infections and incision\/pin tract infections.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nonselective embolization appeared to be associated with reduced RBC transfusion needs and provide faster hemorrhage control, though this did not translate to a survival benefit. The evidence regarding NSE's effect on specific complication risks was inconclusive. Subgroup analysis showed coils were associated with fewer complications than GS. Further prospective studies are needed to clarify the optimal technique and materials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70098","type":"journal-article","created":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T04:39:24Z","timestamp":1759552764000},"page":"3269-3281","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Outcomes of Different Angioembolization Techniques and Materials for Hemodynamically Unstable Pelvic Fractures: An Overlap Weighted Study"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8176-4103","authenticated-orcid":false,"given":"Hui","family":"Li","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine the Second Affiliated Hospital of Zhejiang University School of Medicine  Hangzhou China"},{"name":"Department of Traumatology Chongqing University Central Hospital Chongqing Emergency Medical Center  Chongqing 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Department Hand and Foot Surgery Trauma Center The Second Affiliated Hospital Hengyang Medical School University of South China  Hengyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7367-3252","authenticated-orcid":false,"given":"Yong","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Emergency The Second Affiliated Hospital Hengyang Medical School University of South China  Hengyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5673-2479","authenticated-orcid":false,"given":"Anyong","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Emergency Affiliated Hospital of Zunyi Medical University  Zunyi China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gongliang","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Emergency Surgery Shaanxi Provincial People's Hospital  Xi'an 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