A case is presented of an 83-year-old female patient with a strong suspicion of active bleeding. but no diagnostic contrast blush could be seen on the original computed tomography (CT) scan. Teaching point: When performing CT angiography in veno-arterial extracorporeal membrane oxygenation (VA-ECMO). it is important to understand the altered haemodynamics. https://www.soiebiologique.com/limited-price-Test-Evaluation-Command-ACU-Patch-Foliage-Green-flash-choice/