Pseudoaneurisma traumático em artéria braquial após retirada de implante contraceptivo subdérmico

Monteiro, Rafael Borges; Metzger, Patrick Bastos; Moura, Ariadne Bonachela de; Filho, Antonio Herculano Silva; Campos, Matheus Nogueira; Brito, Arthur Suana de; Luengo, Mirella Prado; Nascimento, Maria Júlia Andrade

doi:10.1590/1677-5449.200040

Cited by 2 publications

(1 citation statement)

References 7 publications

(26 reference statements)

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“…Serious iatrogenic neurovascular injuries have been reported following removal procedures before the appropriate localization of the device. 18,29,30 Fortunately, no patient presented to our clinic with procedure-related complications.…”

Section: Discussionmentioning

confidence: 99%

Localization and removal of nonpalpable contraceptive implants: Experience from a teaching hospital in Ethiopia: A case series

Abubeker,

Tufa,

Tolu

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo assess the outcome of women presenting with nonpalpable contraceptive implants to a referral center in Ethiopia. In addition, we discuss our approach and experience with localization and removal of nonpalpable contraceptive implants.MethodsWe conducted a facility‐based retrospective review of patients evaluated for a nonpalpable contraceptive implant between September 2019 and March 2022 at St. Paul's Hospital Millennium Medical College (SPHMMC) located in Addis Ababa, Ethiopia. SPHMMC is a tertiary teaching hospital with Obstetrics and Gynecology (OBGYN) residency as well as a Family Planning fellowship program. The present study was approved by the institutional review board of SPHMMC.ResultsOf the 68 patients reviewed, 48 were referred from other facilities. A total of 24 (35.3%) patients had at least one previous failed attempt at removal before referral. On ultrasound examination, 27 (40.3%) implants were found below the muscle fascia. Implant removal procedures were successfully done at the outpatient clinic in 65 (95.6%) patients including 40/40 (100%) suprafascial and 25/27 (92.6%) subfascial implants. Removal of subfascial implants was performed in the operating room in two patients. We failed to localize the device in one patient currently on follow‐up. All removals were performed by OBGYNs with subspecialty training in family planning or current fellows supervised by subspecialists. No post‐procedure complications have been documented.ConclusionOur findings show that with meticulous evaluation and careful patient selection, localization and removal of nonpalpable implants in outpatient settings are successful. Initial ultrasonography minimizes delays and allows for same‐day implant localization and removal.

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Section: Discussionmentioning

confidence: 99%

Localization and removal of nonpalpable contraceptive implants: Experience from a teaching hospital in Ethiopia: A case series

Abubeker,

Tufa,

Tolu

et al. 2023

Intl J Gynecology & Obste

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Management of traumatic superficial palmar arch pseudoaneurysm: a therapeutic challenge

Metzger

Neto²,

Carvalho

et al. 2023

J. vasc. bras.

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Pseudoaneurysm of the palmar arch is a rare entity. Diagnosis is dependent on high clinical suspicion. We present a case referred to the emergency department, with a history of glass penetrating trauma to the palmar surface with a pulsatile mass and jet bleeding. Doppler ultrasound evidenced a partially thrombosed pseudoaneurysm. A CT angiography examination showed a saccular formation arising from the superficial palmar arch. A conventional surgical approach was indicated. A clinical suspicion must be ventured to arrive at the correct diagnosis. Imaging modalities are needed to identify the pseudoaneurysm and plan the treatment course. Nonetheless, the sequence of diagnosis is individual, because further evaluation with different imaging methods may not change the rationale for the intervention. In our experience, conventional surgical removal is preferable, due to its safety and well-established outcomes.

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Pseudoaneurisma traumático em artéria braquial após retirada de implante contraceptivo subdérmico

Cited by 2 publications

References 7 publications

Localization and removal of nonpalpable contraceptive implants: Experience from a teaching hospital in Ethiopia: A case series

Localization and removal of nonpalpable contraceptive implants: Experience from a teaching hospital in Ethiopia: A case series

Management of traumatic superficial palmar arch pseudoaneurysm: a therapeutic challenge

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