Ultrasound-Guided Removal of Nonpalpable Subcutaneous Implanted Contraceptive (Implanon).

IF 2.6 3区医学 Q2 PERIPHERAL VASCULAR DISEASE

Journal of Vascular and Interventional Radiology Pub Date : 2025-07-23 DOI:10.1016/j.jvir.2025.07.015

Aren Mnatzakanian, Maha Alkhattab, Amenah Dhannoon, Gerard O'Sullivan

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引用次数: 0

Abstract

Implantable progestin-only contraceptives such as Implanon (Organon International, Jersey City, New Jersey) have grown in popularity and are recommended as first-line contraception for women. In rare cases, implants may migrate or become impalpable, requiring localization prior to open removal by plastic surgery or minimally invasive image-guided removal by interventional radiology (IR). A retrospective review of ultrasound (US)-guided Implanon removals within the IR department of a single center between 2010 and 2020 was performed to report on procedure outcomes, including technical success and adverse event rates. The procedure was performed in 115 women with a technical success rate of 95%. The mean duration of the procedure was 14 minutes (SD ± 3.6). Only 1 patient experienced postprocedural fingertip pain and paresthesia, which resolved spontaneously. IR offers an excellent option for minimally invasive US-guided removal of Implanon devices complicated by implant migration, with a high technical success rate and patient satisfaction and low adverse event rate.

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超声引导下不可触及皮下植入避孕药具的移除术。

植入式仅含孕激素的避孕药具（如Implanon）越来越受欢迎，并被推荐为妇女的一线避孕药具。在极少数情况下，植入物可能会移动或无法触摸，需要在通过整形手术或通过介入放射学（IR）微创图像引导移除之前进行定位。回顾性回顾了2010年至2020年间单个中心IR科室超声引导下的Implanon切除，以报告手术结果，包括技术成功率和不良事件发生率。该手术在115名妇女中进行，技术成功率为95%。手术平均持续时间为14分钟（SD=3.6）。只有1例患者术后指尖疼痛和感觉异常，并自行消退。介入放射学为微创超声引导下去除Implanon植入物并植入物迁移提供了一个很好的选择，技术成功率高，患者满意度高，不良事件发生率低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular and Interventional Radiology 医学-核医学

CiteScore

4.30

自引率

10.30%

发文量

942

审稿时长

90 days

期刊介绍： JVIR, published continuously since 1990, is an international, monthly peer-reviewed interventional radiology journal. As the official journal of the Society of Interventional Radiology, JVIR is the peer-reviewed journal of choice for interventional radiologists, radiologists, cardiologists, vascular surgeons, neurosurgeons, and other clinicians who seek current and reliable information on every aspect of vascular and interventional radiology. Each issue of JVIR covers critical and cutting-edge medical minimally invasive, clinical, basic research, radiological, pathological, and socioeconomic issues of importance to the field.