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Percutaneous extraction of an embolized progesterone contraceptive implant from the pulmonary artery

机译:从肺动脉经皮抽取栓塞的孕酮避孕植入物

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The Nexplanon? implant is a commonly used radiopaque contraceptive device that contains progestogen associated with an ethylene vinyl-acetate copolymer resulting in a slow release of the active hormonal ingredient. It is inserted into the subdermal connective tissue and provides contraceptive efficacy for up to 3 years. Device removal for clinical, personal or device “end-of-life span” reasons is straightforward. In rare cases, implant migration can occur locally within centimeters of the insertion site. Distant device embolization is extremely rare and can result in complications including chest pain, dyspnoea, pneumothorax and thrombosis or prevent conception until the active ingredient is depleted. We present one such case, where a Nexplanon? implant embolized into the pulmonary artery of a young female patient. We describe the initial “missed” diagnosis of embolized device on a chest radiograph and subsequent successful percutaneous removal once distant embolization was diagnosed.
机译:Nexplanon?植入物是常用的不透射线的避孕装置,其包含与乙烯-乙酸乙烯酯共聚物相关的孕激素,导致活性激素成分缓慢释放。它被插入皮下结缔组织,并提供长达3年的避孕功效。出于临床,个人或设备“寿命终止”原因而删除设备非常简单。在极少数情况下,植入物迁移会在插入部位的几厘米内局部发生。遥远的装置栓塞术极为罕见,可能导致并发症,包括胸痛,呼吸困难,气胸和血栓形成,或者在有效成分耗尽之前阻止受孕。我们提出一个这样的案例,其中一个Nexplanon?植入物栓塞在一名年轻女性患者的肺动脉中。我们在胸片上描述了栓塞器械的最初“遗漏”诊断,并在诊断出远处栓塞后成功进行了经皮切除。

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