{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:28:21Z","timestamp":1767706101655,"version":"3.38.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2010,5,11]],"date-time":"2010-05-11T00:00:00Z","timestamp":1273536000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p> Dialysis access-associated steal syndrome (DASS) is a common, serious complication of antecubital fossa (ACF) arteriovenous fistulas (AVFs). We describe our experience of the \u201crevision using distal inflow\u201d (RUDI) technique for the treatment of DASS and review the literature. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Patients underwent fistula ligation at the anastomosis with re-establishment of inflow via the proximal radial or ulnar arteries using a venous interposition graft or venous collateral. A retrospective analysis of outcomes of all patients undergoing this procedure at our center was carried out. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Seven patients with autogenous ACF AVFs underwent the RUDI procedure, four under local anesthesia. Interposition vein grafts were used in five patients, and inflow was achieved through the proximal radial artery in four cases. The median post-operative rise in digital systolic blood pressure was 65.5 mmHg. Follow-up at 7\u201336 months found that three fistulas had failed (one at 8 months, two within days), two patients had died with patent fistulas, one patient was transplanted with a functional AVF, and the remaining patient continues to dialyze through the fistula. No patients developed DASS postoperatively and no further interventions were required to maintain patency. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Although RUDI was successful at treating DASS, a high rate of AVF failure was seen. With technical modifications and further experience, RUDI may become a valuable tool in the surgical armamentarium. <\/jats:p><\/jats:sec>","DOI":"10.5301\/jva.2010.5985","type":"journal-article","created":{"date-parts":[[2010,11,23]],"date-time":"2010-11-23T12:32:20Z","timestamp":1290515540000},"page":"52-56","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Treatment of Dialysis Access-associated Steal Syndrome with the \u201cRevision Using Distal Inflow\u201d Technique"],"prefix":"10.1177","volume":"12","author":[{"given":"Chris J.","family":"Callaghan","sequence":"first","affiliation":[{"name":"University Department of Surgery, Addenbrooke's Hospital, Cambridge - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mekhola","family":"Mallik","sequence":"additional","affiliation":[{"name":"University Department of Surgery, Addenbrooke's Hospital, Cambridge - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Sivaprakasam","sequence":"additional","affiliation":[{"name":"University Department of Surgery, Addenbrooke's Hospital, Cambridge - 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