A man aged 30 years with a brachiocephalic arteriovenous fistula in the left upper arm developed clinical complaints of a cold left hand due to a flow of 3,500 mL/min. A successful banding procedure was performed. Nineteen months later, a stenosis at the banding site resulted in reduced flow and insufficient dialysis. Several percutaneous transluminal angioplasty procedures with different diameters were performed. A satisfactory result was achieved using a 6-mm high-pressure balloon.