“…Previous publications describing placement failures have attributed them primarily to anatomic causes, such as a tubal spasm or limited visualization of the tubal os, 3 , 4 and only rarely to material defects 5 . Additionally, the unsuccessful management of distorted and wayward coils seen here did not match the experiences and recommendations of other authors, who have been able to easily remove microinserts with endoscopic graspers 6 , 7 or simply cut trailing device coils 8 …”