Fig. 5

67 years old male affected by bleeding duodenal ulcer; previous attempts to manage the patient endoscopically failed. In A, a contrast-enhanced CT scan in arterial phase shows active intraluminal bleeding (black arrow); in B, DSA confirms active bleeding (black arrow) from the gastroduodenal artery; in C, DSA shows uneffective coiling of the gastroduodenal artery with blood flow continuing into the vessel; in D, DSA shows complete gastroduodenal artery occlusion after release of MVP-7 (white arrows) in correspondence of the origin of the vessel (target vessel caliper 4.1 mm)