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Confirmation of Essure® microinsert tubal coil placement with conventional and volume- contrast imaging three-dimensional ultrasound John A. Thiel, M.D., Ian B. Suchet, M.B.B.Ch., Karine Lortie, M.D. Fertility and Sterility Volume 84, Issue 2, Pages (August 2005) DOI: /j.fertnstert Copyright © 2005 American Society for Reproductive Medicine Terms and Conditions
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FIGURE 1 Schematic diagram of proper Essure® microinsert coil placement within the uterine cornua extending into the proximal fallopian tube, with six coils remaining in the uterine cavity (used with permission). Thiel. Ultrasound confirmation of Essure® coil position. Fertil Steril 2005. Fertility and Sterility , DOI: ( /j.fertnstert ) Copyright © 2005 American Society for Reproductive Medicine Terms and Conditions
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FIGURE 2 Real-time conventional (2D) sonogram cut in the transverse plane. The arrows indicate the Essure® coils in proper position within the proximal fallopian tube. Thiel. Ultrasound confirmation of Essure® coil position. Fertil Steril 2005. Fertility and Sterility , DOI: ( /j.fertnstert ) Copyright © 2005 American Society for Reproductive Medicine Terms and Conditions
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FIGURE 3 Coronal section of a volume-contrast (3D) ultrasound image of the Essure® coils in proper position extending from the uterine cavity through the cornua and into the proximal fallopian tube. Thiel. Ultrasound confirmation of Essure® coil position. Fertil Steril 2005. Fertility and Sterility , DOI: ( /j.fertnstert ) Copyright © 2005 American Society for Reproductive Medicine Terms and Conditions
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FIGURE 4 Plain film pelvic radiograph showing the Essure® coils lying within the pelvic cavity. The lack of soft tissue detail prevents determination of position within the fallopian tube. Thiel. Ultrasound confirmation of Essure® coil position. Fertil Steril 2005. Fertility and Sterility , DOI: ( /j.fertnstert ) Copyright © 2005 American Society for Reproductive Medicine Terms and Conditions
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FIGURE 5 Hysterosalpingogram demonstrating bilateral tubal occlusion with distally positioned Essure® coils. Note the distance from the uterine cornua to the proximal end of the coil. Thiel. Ultrasound confirmation of Essure® coil position. Fertil Steril 2005. Fertility and Sterility , DOI: ( /j.fertnstert ) Copyright © 2005 American Society for Reproductive Medicine Terms and Conditions
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