ABSTRACT
The Norplant contraceptive implant system is a commonly used method of contraception worldwide. Implant placement and removal are usually simple office-based outpatient procedures. Norplant removal can occasionally become difficult, usually secondary to improper insertion. In these instances, we describe a method of Norplant removal that can easily be performed with use of high-resolution fluoroscopy with associated digital subtraction imaging.
Subject(s)
Contraceptive Agents, Female , Device Removal/methods , Levonorgestrel , Arm , Female , Fluoroscopy , HumansSubject(s)
Cholestasis/etiology , Hemobilia/etiology , Wounds, Gunshot/complications , Adult , Aneurysm, False/therapy , Cholangiography , Cholestasis/diagnostic imaging , Cholestasis/therapy , Embolization, Therapeutic , Hemobilia/diagnostic imaging , Hemobilia/therapy , Humans , Male , Tomography, X-Ray Computed , Wounds, Gunshot/surgerySubject(s)
Arteriovenous Shunt, Surgical/adverse effects , Catheters, Indwelling/adverse effects , Quality Assurance, Health Care , Renal Dialysis/instrumentation , Thrombosis/therapy , Angioplasty, Balloon , Contraindications , Graft Occlusion, Vascular/therapy , Humans , Stents , Thrombectomy , Treatment Outcome , Vascular PatencySubject(s)
Anuria/therapy , Renal Artery Obstruction/therapy , Thrombosis/therapy , Aged , Aged, 80 and over , Angioplasty, Balloon , Anuria/etiology , Catheterization, Peripheral , Combined Modality Therapy , Emergencies , Female , Humans , Radiography, Interventional , Renal Artery Obstruction/complications , Renal Artery Obstruction/drug therapy , Thrombolytic Therapy , Thrombosis/complications , Thrombosis/drug therapy , Urokinase-Type Plasminogen Activator/administration & dosage , Urokinase-Type Plasminogen Activator/therapeutic useABSTRACT
Embolotherapy with platinum microcoils delivered through the Tracker-18 microcatheter (Target Therapeutics, San Jose, Calif) was performed in 16 patients when peripheral superselective catheterization with standard angiographic catheters was not possible. The Tracker-18 catheter could be directed distally into small peripheral vessels for delivery of the microcoils. These microcoils, with attached fiber strands, resulted in vascular occlusion within a few minutes in all cases. Embolotherapy was technically successful in all patients. The procedures were clinically successful in 15 of 16 patients (94%), and no complications were encountered. Embolization with platinum microcoils through the Tracker-18 catheter is useful when standard methods of embolization are not possible.
