Lai CY, Tseng IC, Su CY, et al. - The present study was intended to evaluate arterial embolization (AE)-related outcomes following resuscitation at the center and to evaluate the predictive value of contrast extravasation (CE) during CT for patients with hemodynamically unstable closed pelvic fractures. Between 2014 and 2017, researchers retrospectively examined data from patients who were treated for closed pelvic fractures at a single center. They examined data regarding the AE and clinical parameters to ascertain if poor outcomes could be prognosticated. They treated 545 patients for closed pelvic fractures, including 131 individuals who had undergone angiography and 129 patients who had undergone AE during the study period. The study indicates that for pelvic fracture-related hemorrhage, conducting AE may not be best practice for patients with no CE detected during CT or for unstable patients who do not respond to resuscitation after exclusion of other sources of hemorrhage. This technique should be selected with care, given the high incidence of surgical site infections following nonselective bilateral internal iliac artery embolization. Given their high mortality rate, individuals without CE during imaging might be recognized for other hemostasis methods, such as preperitoneal pelvic packing.