Role of transcatheter arterial embolization for massive bleeding from gastroduodenal ulcers

Figure 4 Typical sandwich embolization in a 75-year-old woman with bleeding from a postbulbar duodenal ulcer at endoscopy. A: Angiography before embolization, guided by clip position (arrow): no evidence of active bleeding; B: Result after coil embolization of the distal and proximal GDA (with gelatine sponge in the arterial trunk), including the anterior and posterior superior pancreaticoduodenal arteries and the right gastroepiploic artery, to prevent retrograde flow (arrows). No ischemic complications were reported.