A four-week-old poly apexus site is examined, revealing a clot and discussing challenges with clipping and blood vessel oozing. Preparation includes removing the clot and ensuring tools are ready. A thin wire snare is used for precise clot removal, and techniques for easy clip removal are demonstrated. Post-procedure, there is no bleeding, but restarting anticoagulation is necessary. The importance of coagulation and clipping techniques is highlighted, along with the healing process of the EMR site.