{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T05:45:37Z","timestamp":1785908737426,"version":"3.56.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the association of preoperative prophylactic transcatheter arterial embolization (PTAE) with perioperative blood loss and operative time in hemodynamically stable acetabular fractures, and to explore outcomes associated with different embolization strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed 304 patients treated between January 2023 and March 2025, including 106 who underwent PTAE and 198 who underwent open reduction and internal fixation without preoperative embolization. Propensity score matching generated 89 matched pairs. Intraoperative blood loss, total drainage output, hidden blood loss, total blood loss, and operative time were compared. Separate multivariable linear regression models were used for total blood loss and operative time. Within the PTAE cohort, outcomes were also compared between superselective superior gluteal artery (SGA) embolization and internal iliac artery (IIA) trunk embolization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Angiography identified occult vascular injuries in 15 of 106 PTAE patients (14.15%). After matching, PTAE was associated with lower intraoperative blood loss, total drainage output, hidden blood loss, and total blood loss, as well as shorter operative time (all\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0.001). Multivariable analyses confirmed independent associations with lower total blood loss (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      =\u202f\u2212204.71,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0.001) and shorter operative time (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      =\u202f\u221222.116,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0.001). In exploratory subgroup analysis, blood loss outcomes and operative time did not differ significantly between the SGA and IIA groups, whereas the SGA group had lower 24-h postoperative VAS scores (4.19\u202f\u00b1\u202f1.90 vs. 6.03\u202f\u00b1\u202f2.01,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this propensity score-matched retrospective cohort, preoperative PTAE was associated with lower perioperative blood loss and shorter operative time. Superselective embolization of anatomically high-risk vessels may be a potential strategy for perioperative vascular management, but subgroup findings should be interpreted cautiously.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1866547","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T04:52:25Z","timestamp":1785905545000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of prophylactic transcatheter arterial embolization with perioperative blood loss and operative time in complex acetabular fractures: a propensity score-matched retrospective study"],"prefix":"10.3389","volume":"13","author":[{"given":"Bin","family":"Chen","sequence":"first","affiliation":[{"name":"Second Clinical Medical College, Shanxi Medical University","place":["Taiyuan, China"]},{"name":"Department of Orthopedics, Second Hospital of Shanxi Medical University","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ningning","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Second Hospital of Shanxi Medical University","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinbo","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Second Hospital of Shanxi Medical University","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiapeng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Second Hospital of Shanxi Medical University","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ze","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Second Hospital of Shanxi Medical University","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingming","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Second Hospital of Shanxi Medical University","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peilu","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Second Hospital of Shanxi Medical University","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonghong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Second Hospital of Shanxi Medical University","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Second Hospital of Shanxi Medical University","place":["Taiyuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1186\/s13018-023-03756-y","article-title":"Fixation of pelvic acetabular fractures using 3D-printed fracture plates: a cadaver study","volume":"18","author":"Robinson","year":"2023","journal-title":"J Orthop Surg Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"652","DOI":"10.1302\/2633-1462.49.BJO-2023-0085.R1","article-title":"Acetabular fractures: epidemiology and mortality based on 2,132 fractures from the Swedish fracture register","volume":"4","author":"Albrektsson","year":"2023","journal-title":"Bone Jt Open"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1097\/TA.0000000000003446","article-title":"Extravasation and outcomes in computed tomography and angiography in patients with pelvic fractures requiring transcatheter arterial embolization: a single-center observational study","volume":"92","author":"Nakajima","year":"2022","journal-title":"J Trauma Acute Care Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1016\/j.suc.2023.10.001","article-title":"Management of pelvic trauma","volume":"104","author":"Baker","year":"2024","journal-title":"Surg Clin North Am"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1492","DOI":"10.3390\/medicina59081492","article-title":"Nonselective versus selective angioembolization for trauma patients with pelvic injuries accompanied by hemorrhage: a meta-analysis","volume":"59","author":"Jang","year":"2023","journal-title":"Medicina (Kaunas)"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1016\/j.amsu.2020.04.029","article-title":"Effectiveness of transcatheter arterial embolization for patients with shock from abdominopelvic trauma: a retrospective cohort 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analysis of resuscitative endovascular balloon occlusion of the aorta in civilian trauma","volume":"154","author":"Joseph","year":"2019","journal-title":"JAMA Surg"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1016\/j.jvir.2022.11.030","article-title":"Preoperative arterial embolization for heterotopic ossification of the hip","volume":"34","author":"Papalexis","year":"2023","journal-title":"J Vasc Interv Radiol"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"322","DOI":"10.4274\/dir.2025.253416","article-title":"Preoperative arterial and venous embolization of heterotopic ossification of the hip: a case-control study","volume":"32","author":"Le Tat","year":"2026","journal-title":"Diagn Interv Radiol"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1016\/j.jvir.2025.01.041","article-title":"Effects of prophylactic coil embolization of pelvic arteries on surgical outcomes in hemodynamically stable patients with complex acetabular fractures","volume":"36","author":"Guo","year":"2025","journal-title":"J Vasc Interv Radiol"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1129","DOI":"10.1007\/s00068-018-01066-1","article-title":"Novel transcatheter arterial embolization method for hemodynamically unstable pelvic fractures to prevent complications of gluteal necrosis","volume":"46","author":"Maruhashi","year":"2020","journal-title":"Eur J Trauma Emerg Surg"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"e110","DOI":"10.1097\/TA.0000000000003501","article-title":"The diameter of the gelatin sponge affects the outcome of pelvic internal iliac artery embolization","volume":"92","author":"Li","year":"2022","journal-title":"J Trauma Acute Care Surg"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1016\/j.injury.2005.09.007","article-title":"Review of the pathophysiology and acute management of hemorrhage in pelvic fracture","volume":"37","author":"Dyer","year":"2006","journal-title":"Injury"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1186\/s13063-024-08147-0","article-title":"Hidden blood loss and the influential factors after minimally invasive treatment of posterior pelvic ring injury with sacroiliac screw","volume":"25","author":"Xu","year":"2024","journal-title":"Trials"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1866547\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T04:52:41Z","timestamp":1785905561000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1866547\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,5]]},"references-count":35,"alternative-id":["10.3389\/fmed.2026.1866547"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1866547","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,5]]},"article-number":"1866547"}}