Contraceptive Implant Embolism Into the Pulmonary Artery

Patel, Anish; Shetty, Dushyant; Hollings, Nicholas; Dodds, N

doi:10.1016/j.athoracsur.2013.09.029

Cited by 27 publications

(19 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is interesting that this position is the typical site in which materials inserted in the forearm, following the blood circulation through the basilic and cephalic veins embolize. Indeed, we found various reports in the literature regarding migration of subdermal contraceptive implants that were positioned in the forearms, with shape and dimension very similar to a fragment of PVC (4)(5)(6). In all these cases, the foreign body was found in a subsegmental branch of the left lower lobe artery as in our case.…”

Section: Discussionsupporting

confidence: 55%

Peripheral venous catheter fracture with embolism into the pulmonary artery

et al. 2016

View full text Add to dashboard Cite

Peripheral vein catheterization is generally considered a harmless procedure. Venous catheter rupture associated with pulmonary embolism is an unlikely but potentially serious complication. We report a case of a peripheral venous catheter (PVC) fracture with pulmonary artery embolization in the left lower lobe treated successfully by a surgical approach. The positioning of a PVC is not always a harmless procedure. Every time there are difficulties in positioning or in removal of a catheter device, it should be carefully inspected to verify integrity. The advisability of removal of these small foreign bodies is debated; percutaneous retrieval is preferred, while surgery should be discussed case by case.

show abstract

Section: Discussionsupporting

confidence: 55%

Peripheral venous catheter fracture with embolism into the pulmonary artery

et al. 2016

View full text Add to dashboard Cite

show abstract

“…The Sponsor encountered infrequent (0.26%) events reporting of migration in the AMP. Although rare cases of migration to the pulmonary artery have been described [10][11][12][13][14][15], the AMP participants did not report such cases.…”

Section: Discussionmentioning

confidence: 81%

The US etonogestrel implant mandatory clinical training and active monitoring programs: 6-year experience

et al. 2017

View full text Add to dashboard Cite

Objective: The objective was to monitor the effectiveness of the etonogestrel implant clinical training program through a voluntary active monitoring program (AMP). Study design: US health care providers underwent mandatory training by the manufacturer on etonogestrel implant insertion, localization and removal. After training, health care providers could enroll in a voluntary AMP to provide outcome data to meet a postmarketing commitment of the manufacturer with the US Food and Drug Administration (FDA). Those who volunteered completed and faxed forms to the manufacturer after implant insertion and removal detailing the procedure and device-related outcomes, including insertion-, localizationor removal-associated events. Experts reviewed outcome data quarterly, which the Sponsor then reported to the FDA. Results: Among 42,337 health care providers completing the training program, 4294 (10.1%) volunteered to participate in the AMP. The 26,198 forms submitted over 6.4 years included more insertion (n=20,497) forms than removal forms (n=5701). The volunteers reported 646 events on 566 (2.2%) forms related to insertion (n=197), localization (n=34), removal (n=357) and "other" (n=58). Clinically important events included noninsertion (n=4), serum etonogestrel positive but implant not found (n=1), and possible nerve (n=66) or vascular (n=5) injury. The reports did not include any insertion-, localization-or removal-associated hospitalizations. Eight (0.14%) removal reports described referral for surgical implant removal. Conclusion: Events related to insertion, localization or removal of the etonogestrel implant are uncommon among US providers who received mandatory training in the use of the implant. Implications: This report presents results from the first mandatory US contraceptive training program. Health care providers volunteered to report information about etonogestrel implant insertion, localization and removal. Although the data do not demonstrate whether a mandatory program improves outcomes, they elucidate the utility and real-life experience that clinical training programs can provide.

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

Contraceptive Implant Embolism Into the Pulmonary Artery

Cited by 27 publications

References 1 publication

Peripheral venous catheter fracture with embolism into the pulmonary artery

Peripheral venous catheter fracture with embolism into the pulmonary artery

The US etonogestrel implant mandatory clinical training and active monitoring programs: 6-year experience

Contraceptive Implant Migration and Removal by Interventional Radiology

Contact Info

Product

Resources

About