Emergency transcatheter arterial embolization for patients with acute massive duodenal ulcer hemorrhage

Figure 1 Impact of catheter position on the signs of bleeding. A: When the catheter tip was in the celiac artery, radiography failed to show signs of bleeding in the gastroduodenal artery; B: When the catheter super-select to the beginning site of the gastroduodenal artery for angiography, and the exo-contrast agent and smearing of the duodenal mucosa (arrows) are shown.

Figure 2 Angiographic changes before and after embolization of the gastroduodenal branch by microcatheter. A: Micro-catheter super-select to the gastroduodenal artery branch for angiography, and the exo-contrast agent is shown (indicated by the arrows); B: After embolization by micro-catheter, angiography showed that the bleeding had stopped; the distal end of the bleeding artery was kept open, to avoid widespread ischemia of normal tissue.