Current trends and perspectives in interventional radiology for gastrointestinal cancers

Figure 1 87-year-old female with distal duodenum/proximal jejunum Ca presents with severe recurrent melenas. Endoscopic hemostasis failed in high risk surgical patients with hemodynamic instability and normal coagulation state, requiring embolization after transfusion and hemodynamic stabilization (stabilized blood pressure 90 mmHg with inotropes, HR: 110/min. Hb 6.4). A: Computed tomography-Angio: Two active bleeding sites at proximal jejunum (arrows); B: Selective digital subtraction angiography (DSA) from superior mesenteric artery depicting the bleeding sites (arrows); C: Selective catheterization of the feeding artery with microcatheter and two 3 mm micro coils deployed; D: Lesions are not depicted at final DSA.