Arteriogram incision healing: concerned about wound care
I am my wife’s caregiver. She has a blood clot in her heart and is being treated with thinners. About a month ago, my wife had an arteriogram. The access to the femoral artery is in the left groin and was closed with a Star Closer. The Closer fell off about four days later. She is obese so belly fat laps over the incision when she stands or sits. We clean the incision with soap and water, as directed by our physician. Here’s the issue. She is immuno-compromised due to high dosage prednisone so we were advised that the incision healing would be slow and should heal from the inside to the surface. We leave it open to air while she lays down and as directed, we put a bandage on when sitting or standing. The incision opening looks to be about a quarter inch deep. It doesn’t look infected but there is pus inside. Oozing stopped about two weeks ago. Our surgeon looked at it a week ago and noted “a little infection”, told us to keep cleaning it with soap and water and avoid antibiotic salve. While the incision surface is not red or hard, the open hole and pus is worrisome. Our surgeon said it could take another month to heal. So, does this sound normal under the immune deficiency and does the belly fat lapping over impede healing? Thank you.
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Amen.
@ernpick1 how is your wife’s incision doing? I certainly hope it’s getting better so maybe you have time to do something special for the season! Will you let me know how she is doing?
Howdy, thank you for asking. The incision is healing slowly, but cleanly. We now have home health/physical therapy coming out twice a week. She also developed corticosteroid myopathy which left her unable to walk but the dosage is now really low and ends in two weeks. Therapists are helping greatly and everything is looking better. The fistula appears to have closed on its own but a specialist will have a look via angiogram in the next month. She has had a rough year but things are looking better.
@ernpick1 thank you for letting me know! It’s great that your wife now has home therapy and physical therapy. I hope you can take a minute to relax while they are in the house—you deserve it!
Thanks. Right now I am learning my part of the pt. Her blood clot is gone and more plans are happening for the afib. Also being taken off prednisone in two weeks. Tapered from 100 mgs daily to 10, starting today.
One more blood test and will probably also be taken off of Glipizide and declared diabetes free.