title: Contrast infusion sonography to assess microinsert placement and tubal occlusion after Essure.
abstract: OBJECTIVE
  To develop a technique for contrast infusion sonography and assess the possible use in determining microinsert placement and tubal status after Essure sterilization.
  
  
  METHODS
  Techniques and instrumentation.
  
  
  METHODS
  Healthy women in an academic multispecialty group.
  
  
  METHODS
  Ten women desiring permanent sterilization who have recently undergone Essure hysteroscopic sterilization.
  
  
  METHODS
  Contrast infusion sonography, an adaptation of hysterosalpingo contrast sonography, performed at 3-23 weeks after Essure placement.
  
  
  METHODS
  To determine how readily tubal status and microinsert location could be assessed with this adaptation of hysterosalpingo contrast sonography.
  
  
  RESULTS
  All microinserts were readily identified and tubal status was assessed by identification or absence of real-time contrast agent flow.
  
  
  CONCLUSIONS
  This technique is very promising and could represent a convenient alternative to hysterosalpingogram (HSG) 3 months after Essure placement.
authors.affiliation: Department of Gynecology, Cleveland Clinic Florida, Weston, Florida 33331, USA. connorv@ccf.org
authors.forename: Viviane F
authors.initials: VF
authors.lastname: Connor
mesh_terms: D000328:Adult; D003287:Contrast Media; D005187:Fallopian Tubes / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007434:Intrauterine Devices; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods; D011182:Postoperative Care / Q000379:methods*; D011379:Prognosis; D019919:Prosthesis Implantation / Q000379:methods*; D013246:Sterilization, Tubal / Q000295:instrumentation* / Q000379:methods*; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods
chemical_list: D003287:Contrast Media