Reply

We appreciate the thoughtful comments and questions that Asokkumar et al1 raised after reading our article about investigating the efficacy of over-the-scope clip (OTSC) as primary or rescue therapy for patients with bleeding lesions that are at high risk of adverse outcome.2 As a standard practice, all OTSC placements are checked for adequate peritarget tissue and target vessel entrapment. Appropriate additional thermal, mechanical, or occlusive approaches are taken to address the concerns raised by Asokkumar et al.

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