title: Removal of a Nexplanon implant located in the biceps muscle using a combination of ultrasound and fluoroscopy guidance.
abstract: Despite modifications to avoid deep insertions, clinical experience with Nexplanon demonstrates that deep insertions still occur. We present a case of a Nexplanon found in the biceps muscle that was successfully removed with a small incision using a combination of ultrasound and fluoroscopy guidance by interventional radiologists.
authors.affiliation: Section of Family Planning, Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Center, CO 80202, USA. Electronic address: maryam.guiahi@ucdenver.edu.
authors.forename: Maryam
authors.initials: M
authors.lastname: Guiahi
authors.affiliation: Section of Family Planning, Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Center, CO 80202, USA.
authors.forename: Kristina
authors.initials: K
authors.lastname: Tocce
authors.affiliation: Section of Family Planning, Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Center, CO 80202, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Teal
authors.affiliation: Section of Interventional Radiology, Department of Radiology, University of Colorado Anschutz Medical Center, CO 80202, USA.
authors.forename: Tyler
authors.initials: T
authors.lastname: Green
authors.affiliation: Section of Interventional Radiology, Department of Radiology, University of Colorado Anschutz Medical Center, CO 80202, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Rochon
mesh_terms: D000328:Adult; D001132:Arm; D003271:Contraceptive Agents, Female; D017135:Desogestrel; D020878:Device Removal; D004343:Drug Implants; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D018482:Muscle, Skeletal / Q000601:surgery; D018084:Ultrasonography, Interventional
chemical_list: D003271:Contraceptive Agents, Female; D004343:Drug Implants; C044815:etonogestrel; D017135:Desogestrel
keywords: Contraceptive implant; Deep insertion; Nexplanon; Removal