Arteriovenous fistulas (AVFs) are the preferred vascular access for hemodialysis patients; however, they may lead to ischemic complications such as steal syndrome. A 72-year-old woman with chronic kidney disease developed hand ulcers and coldness following the creation of a left brachiobasilic AVF. The patient underwent a revision using distal inflow (RUDI) procedure. The postoperative fistula was functional with a positive thrill, and the patient was discharged the same day. At the two-week follow-up, increased hand temperature and marked healing of ulcerative lesions were observed. In conclusion, RUDI may offer an effective treatment option in moderate ischemia cases.