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Stephen G. Recipient

Foley Anchor and rash

I am the proud owner of a Heartmate 3 LVAD. I have had it for 15 months now and have has an interesting ride, but that is for a later post.

My issues have been with driveline management and skin rashes. My skin is very sensitive to tape and adhesives and it has been a challenge to find the most comfortable dressing and foley anchor. I was using the Centurion FCS200XT that the hospital recommended and was having issues with my skin getting irritated. I tried several other anchors that did not bother my skin as much, but the cable management was not as good.  After a lot of research and trial and error I came across a new version of the Centurion anchor. It appears that they have come out with a model Centurion - FCS300XT - Centurion Foley Anchor Urinary Catheter Securement Device, PE Foam. This version looks the same and secures the cable the same but is made of a different material and has a different adhesive.  I have never been so happy since I am using these.  No more rash and the cable stays secure.

They appear to be available from all the normal outlets, just make sure you specify the FCS300XT.  Good shopping.

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KEVIN O.

It seems as though the foley anchors have gotten vey thin and crappy. I used to be able to keep my Foley anchor on for at least a month (the thick one) now they fold over with your skin. Anyone have same trouble ? Also some moleskin wrapped around the driveline connection (Heartmate 3), helps blisters where it rubs on your skin.

Profile picture for user KEVIN O
KEVIN O.

It seems as though the foley anchors have gotten vey thin and crappy. I used to be able to keep my Foley anchor on for at least a month (the thick one) now they fold over with your skin. Anyone have same trouble ? Also some moleskin wrapped around the driveline connection (Heartmate 3), helps blisters where it rubs on your skin.

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Peter S.

I had similar issues until some wonderful nurse turned me on to Cavilon wipes. They are used as a skin prep before you apply the dressing. They have helped enormously. 

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Mariza M.

Hi, I’ve been using the folley anchor FCS200XT for almost 3 years and very few skin demage was observed. I change it every 10-15 days depending on its aspect. Icurrently use Cavilon to protect the skin. For dressing, Primapore works quite well, with no rash or skin demage.  The problem with this dressing is that it is not available in Brazil, which make it very expensive due to import taxes. 

Mariza

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In reply to by Mariza M.

Susan S.

That a long time before changing bandages. I do my husbands every other day.  I guess if they (the Lvad Team) were to tell me it was okay I might try, but even after 3 days it seems necessary .

Susan

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In reply to by Susan S.

Gene C.

Susan, what factors make it seem necessary to change dressings every three days? I'm able to change mine every 7 - 10 days. Do you use a kit of dressings with a window one?

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Chiplon W.

I've had my Heartmate II for almost three years now. I get all my supplies directly from the LVAD/Heart Transplant clinic at Carolinas Medical Center. And, to be honest, I'm not sure what they give me. I have had a couple of instances of getting irritated. But, my wife who is my caregiver (And, no way in the world could l do without her!!), just cleans the site really well when she removes one, and changes the position of the new one to avoids the previous ones position. I really think moving it slightly is the key to avoid irritation. So, PLEASE be grateful for your chance at a longer life. And, live it to the fullest.

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In reply to by Chiplon W.

Susan S.

I do the same, changing the position so the same area can heal.  It does help.  My husband has had his HeartMate 2 for 2 years.  We are very grateful for his progress.  It been a learning experience , and we accept that.  

Susan

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Cindy R.

Hello, I have sensitive skin as well, and have had great trouble with tape and foley anchors. After many years, here are a few things I have learned and would like to share. I can only use paper tape and that will not change. I could not wear a foley anchors for years because of the adhesive. My husband started layering paper tape, and after 3 layers, the foley anchor can be attached and will not irritate me. Whenever anyone gets a rash, I recommend Clobetasol Propionate ointment, USP, 0.05%. This is a common RX and works well with the skin, but cannot be applied on or very close to the driveline. My dressing changing kits come with a new foley anchor, so it is changed every other day. Whenever I apply ointment, I wear a tank top with a binder over it to keep the dressing down and closed. The tape will stick using this method after the binder is on overnight. Wishing you the best with your LVAD. I am enjoying every minute I have because of mine.