Revision using distal inflow

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Revision Using Distal Inflow (RUDI) is a surgical treatment for Dialysis-associated Steal Syndrome. RUDI was first proposed by David J. Minion and colleagues in 2005. In the procedure, the fistula is ligated at a location slightly proximal to the anastomosis. A bypass to the venous outflow is then created from a distal arterial source.[1]

In a review of a three studies on the efficacy of the technique, RUDI was shown to provide good patency (80%-100%) and 100% symptom resolution.[2]


  1. ^ Minion DJ, Moore E, Endean E (2005). "Revision using distal inflow: a novel approach to dialysis-associated steal syndrome". Ann Vasc Surg. 19 (5): 625–8. doi:10.1007/s10016-005-5827-7. PMID 16052391. 
  2. ^ Ahmed M, Peden, E (2017). "Dialysis-associated steal syndrome (DASS)". J Vasc Access. 18: 68–73. doi:10.5301/jva.5000684.