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://bursgaers.shop/product-category/laptop-sleeves/