girlgeek33 wrote:Can you tell me how common it is to get scar tissue around or near the incision site? When there, what can be done about it? When is this serious? Can this create issues for the blood flow, especially since that's what trying to be corrected?
Thanks! Welcome back! Hope it was a good trip!
scar forms whenever there is disruption of tissue and skin. if you have a long cut, scar will form. how intense, thick, wide the scar becomes is highly variable, as you probably already know.
many IRs make a cut in skin from 2-3 mm to 10mm long. if the edges do not come together, the defect is filled with scar tissue. if the puncture site were to get infected, then the scar might be larger. Some people produce very thick hypertrophied scars called keloids.
I do not make a skin incision. I just put the needle through the skin and then put a wire into the vein and push the catheter over it into the vein without cutting the skin. my argument is that the cut is unnecessary and the likelihood of scar is much lower. it is basically like putting in an IV
nothing wrong with either technique. the cutting is the traditional way. no one ever accused me of being traditional.
however the scar is usually trivial, it is unlikely to cause problems for the veins