Evaluation of tubal microinserts position using 3D ultrasound and pelvic X-ray

Moureau, D.; Laurent, N.; Rubod, Chrystèle; Lucot, Jean-Philippe; Salleron, Julia; Faye, N.

doi:10.1016/j.diii.2014.12.013

Cited by 9 publications

(3 citation statements)

References 40 publications

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“…9 TVU is a non-ionizing, less uncomfortable and less invasive technique than HSG, and it seems to have similar performances in assessing Essure inserts compared to pelvic radiography. 10 In 2015, the FDA approved two-dimensional-TVU as an alternative technique in evaluating Essure device position and a new algorithm including both TVU and HSG was introduced, (a) A photograph of the device, which consists of two coils. The distal end of the inner coil has a small round shape "ball-tip".…”

Section: Imaging Techniquesmentioning

confidence: 99%

“…Because of certain uterine abnormalities such as fibroma or adenomyosis, this distance can be increased. 10 Pelvic radiography has several limitations in unusual situations such as single Essure device placement (unilateral salpingectomy or uterus unicornis), uterine laterodeviation or retroversion. 6 B-HysterosalPingograPHy HSG is the only imaging technique that allows us to test the mechanical integrity of the fibrotic reaction thus evaluating the tubal occlusion and device positioning at the same time.…”

Section: Radiological Assessment Of Essure Birth Control Devicementioning

confidence: 99%

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Imaging findings in Essure-related complications: a pictorial review

Djeffal

Blouet

Pizzoferato

et al. 2018

BJR

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Tubal sterilization with Essure inserts has become a prevalent alternative to laparoscopic sterilization because of its minimal invasiveness. It is a well-tolerated ambulatory procedure that provides reliable permanent contraception without the risks associated with laparoscopic surgery and general anesthesia. Correct positioning of the Essure device is necessary to achieve the fibrotic reaction induced by the polyethylene terephthalate fibers, subsequently resulting in tubal occlusion usually within 3 months. After uneventful procedures with satisfactory bilateral placement, only the correct position of the devices needs to be confirmed at follow-up. The imaging techniques used to asses Essure devices may vary depending on the country and its recommendations. The gold-standard test to ascertain tubal occlusion remains the hysterosalpingography but after uneventful procedures, vaginal-ultrasound proved to be a reliable alternative to confirm the proper position of the inserts. Radiologists have been increasingly confronted to post-procedural evaluations and despite the efficiency rate of the Essure device, its use still exposes to a low risk of complications and malfunctions such as unwanted pregnancies, device misplacement, tubal or uterine perforation, and chronic pelvic pain. Unintended pregnancies are mostly due to patient or physician non-compliance and misinterpretation of post-procedural examinations by radiologists which emphasizes the importance of their training in Essure device assessment. This pictorial review discusses the imaging methods used to asses Essure implants and illustrates the possible complications related to them.

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Section: Imaging Techniquesmentioning

confidence: 99%

Section: Radiological Assessment Of Essure Birth Control Devicementioning

confidence: 99%

Imaging findings in Essure-related complications: a pictorial review

Djeffal

Blouet

Pizzoferato

et al. 2018

BJR

View full text Add to dashboard Cite

show abstract

“…The imaging techniques used for ascertaining the correct microinsert position or tubal occlusion may vary among countries and include hysterosalpingography (HSG), sonography, plain pelvic radiography, and hysterosonography . However, HSG remains reference standard . Non‐HSG techniques are preferred because HSG is an invasive procedure that exposes the patient to ionizing radiation, is uncomfortable for the patient, and can be associated with pelvic infections, vasovagal reactions, anaphylactic shock, uterine bleeding, or uterine perforation …”

mentioning

confidence: 99%