Semin intervent Radiol 2018; 35(01): 023-028
DOI: 10.1055/s-0038-1636517
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Contraceptive Implant Migration and Removal by Interventional Radiology

Salina Zhang
Case Western Reserve University School of Medicine, Cleveland, Ohio
,
Pelin Batur
Case Western Reserve University School of Medicine, Cleveland, Ohio
Department of Primary Care, Women's Health, Medicine Institute, Cleveland Clinic, Cleveland, Ohio
,
Charles Martin III
Department of Interventional Radiology, Imaging Institute, Cleveland Clinic, Cleveland, Ohio
,
Paul J. Rochon
Department of Interventional Radiology, University of Colorado, Denver, Colorado
› Author Affiliations
Further Information

Publication History

Publication Date:
05 April 2018 (online)

Abstract

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.