title: Removal of a Contraceptive Implant From the Brachial Neurovascular Sheath.
abstract: Subdermal implantable devices are commonly used for long-acting contraception in the United States and Europe. Although relatively safe in nature, their implantation and removal may be associated with potential complications, some of which may require surgical intervention. Complications may include infection, incorrect implantation, migration, or difficulty with removal. Proximal migration has been reported; however, there are no reports of devices that have migrated within the brachial neurovascular sheath. This case report describes migration of an implantable contraceptive within the brachial neurovascular sheath that required surgical removal.
authors.affiliation: Department of Orthopaedic Surgery, Tripler Army Medical Center, Tripler AMC, HI.
authors.forename: Christopher
authors.initials: C
authors.lastname: Belyea
authors.affiliation: Department of Orthopaedic Surgery, Tripler Army Medical Center, Tripler AMC, HI. Electronic address: Justin.ernat@gmail.com.
authors.forename: Justin
authors.initials: J
authors.lastname: Ernat
authors.affiliation: Department of Orthopaedic Surgery, Tripler Army Medical Center, Tripler AMC, HI.
authors.forename: Rey
authors.initials: R
authors.lastname: Gumboc
mesh_terms: D000328:Adult; D001132:Arm; D003271:Contraceptive Agents, Female; D020878:Device Removal; D004343:Drug Implants / Q000009:adverse effects*; D005260:Female; D005471:Fluoroscopy; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans
chemical_list: D003271:Contraceptive Agents, Female; D004343:Drug Implants
keywords: Brachial artery; complication; neurovascular sheath