What to do if the vein is tender, graft pumping well and no blood in coming in the syringe in a dialysis patient?
Patient: hi,i am an dialysis patient.i have an av graft in my right upprr arm.went for dialysis,when needle was inserted.was in extreme pain,plus blood clot came out into syringe,nurse tried 4 times ,no blood was coming out,now vein is very tender,graft is still pumpimg well Doctor: Quite likely there is acute clot formation in your graft as its pulsatile and there is no blood flow. In a graft the likelyhood of improvement in that is less although its good to  meet your vascular surgeon at the earliest.