Looking for a lost subdermal contraceptive implant? Think about the pulmonary artery

Gallon, A.; Fontarensky, M.; Chauffour, Candice; Boyer, L.; Chabrot, P.

doi:10.1016/j.contraception.2016.11.004

Cited by 17 publications

(15 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…I nstructions for contraceptive subdermal implant insertion have changed over the past decade, primarily inspired by complications related to deep insertions, including intravascular placement and pulmonary artery migration. [1][2][3][4] The most recent recommendation for optimal placement is between the dermis and the subcutaneous tissue in the area of the arm over the triceps muscle, with the intent to minimize neurovascular injury should deep insertion inadvertently occur.…”

Section: Discussionmentioning

confidence: 99%

Referral Center Experience With Nonpalpable Contraceptive Implant Removals

Matulich

Chen

Schimmoeller

et al. 2019

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

We performed a retrospective cohort study by reviewing the charts of patients referred to our family planning specialty center for nonpalpable or complex contraceptive implant removal from January 2015 through December 2018. We localized nonpalpable implants using high-frequency ultrasonography and skin mapping in radiology, followed by attempted removal in the office using local anesthesia and a modified vasectomy clamp. We abstracted information on demographics, implant location, and outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Referral Center Experience With Nonpalpable Contraceptive Implant Removals

Matulich

Chen

Schimmoeller

et al. 2019

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

show abstract

“…Searched literature demonstrated nine publications of pulmonary artery migration. [37][38][39][40][41][42][43][44][45] Most cases of significant migration result from the implant being inadvertently inserted into the venous system. Typically, the implant then travels from the basilic vein and embolizes to the pulmonary arteries.…”

Section: Discussion Visualization Techniquesmentioning

confidence: 99%

Contraceptive Implant Migration and Removal by Interventional Radiology

Zhang

Batur

Martin

et al. 2018

Semin intervent Radiol

View full text Add to dashboard Cite

As the reversible contraceptive arm implants grow more popular, there is an increasing need to recognize the complications resulting from implant migration and removal. This review summarizes the findings of imaging and removal methods. When an implant is lost, the axillary region should be investigated first. If the implant still cannot be found, visualization though different methods have been employed for non-radiopaque implants. Real-time fluoroscopic-guided localization and removal can be accomplished for radiopaque Nexplanon. Once the implant has been located, standard removal method and other modified techniques can be used to safely remove the implant depending on the implant's location.

show abstract

“…If the implant is not palpable on exam during routine physical exam or at the time of removal attempt, imaging studies should be pursued to localize a potentially migrated device. Initial workup should include an ultrasound and radiograph of the arm to include the axilla [2] , [4] . Nexplanon contains barium sulfate making it more radio-opaque and easier to locate on imaging studies than Implanon, whose use has been discontinued in the United States [1] .…”

Section: Discussionmentioning

confidence: 99%

“…Nexplanon contains barium sulfate making it more radio-opaque and easier to locate on imaging studies than Implanon, whose use has been discontinued in the United States [1] . If these methods do not reveal the implant's location, chest radiograph or CT should be considered to assess for central embolization [2] , [3] , [4] , [5] , [7] , [8] .…”

Section: Discussionmentioning

confidence: 99%

“…A more extensive search ensues with radiography of the upper extremity and chest. Once embolization is confirmed, expedited removal is recommended and can be performed endovascularly by interventional radiology [2] , [3] , [4] or surgically by cardiothoracic surgery [5] , [6] . We report our experience of device retrieval using an endovascular approach.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endovascular retrieval of contraceptive implant embolized to pulmonary artery

Wilcox

Turcer

Soltes

et al. 2018

Radiology Case Reports

View full text Add to dashboard Cite

Embolization of subdermally implanted contraceptive devices is a rare but potentially serious event. Timely removal of the embolized foreign body should be considered to prevent possible hemodynamic, respiratory, or hormonal complications. We present a case of a 22-year-old woman with a contraceptive implant embolized to her right lower lobar pulmonary artery, which was successfully managed by endovascular retrieval.

show abstract

Looking for a lost subdermal contraceptive implant? Think about the pulmonary artery

Cited by 17 publications

References 8 publications

Referral Center Experience With Nonpalpable Contraceptive Implant Removals

Referral Center Experience With Nonpalpable Contraceptive Implant Removals

Contraceptive Implant Migration and Removal by Interventional Radiology

Endovascular retrieval of contraceptive implant embolized to pulmonary artery

Contact Info

Product

Resources

About