diff --git a/vllm/patches/deepseek_v4_attention.py b/vllm/patches/deepseek_v4_attention.py
index 3165490d..c8182531 100644
--- a/vllm/patches/deepseek_v4_attention.py
+++ b/vllm/patches/deepseek_v4_attention.py
@@ -710,6 +710,9 @@ class DeepseekV4MultiHeadLatentAttentionWrapper(PluggableLayer):
                         swa_metadata.block_size,
                         self.scale,
                         self.window_size,
+                        swa_indices=swa_metadata.decode_swa_indices,
+                        swa_lens=swa_metadata.decode_swa_lens,
+                        decode_token_idx=t,
                     ).squeeze(0)
             else:
                 # CSA/HCA layers: sparse attention + SWA + sink merge
diff --git a/vllm/patches/layers/csa_attention.py b/vllm/patches/layers/csa_attention.py
index 7137b486..c315fed5 100644
--- a/vllm/patches/layers/csa_attention.py
+++ b/vllm/patches/layers/csa_attention.py
@@ -219,29 +219,51 @@ def blackwell_attention_kv_write(
 def blackwell_attention_decode(
     q,               # (1, NH, HD) single decode query with RoPE
     positions,       # (1,) absolute position
-    swa_kv_cache,    # (num_blocks, block_size, HD) fp8 paged cache
+    swa_kv_cache,    # (num_blocks, block_size, HD) fp8 SWA cache (uint8)
     swa_inv_scale,   # (max_slots, 1) per-token inv scale
     slot_mapping,    # (1,) slot for the new token (already written)
     block_size,      # tokens per block
     scale,           # 1/sqrt(HD)
     window_size,     # 128
+    swa_indices=None,  # (num_decode_tokens, window_size) pre-computed paged indices
+    swa_lens=None,   # (num_decode_tokens,) number of valid indices per token
+    decode_token_idx=0,  # which decode token this is
 ) -> torch.Tensor:
-    """Decode attention: read all cached KV, attend.
+    """Decode attention: read cached KV using paged indices, attend.
     
+    Uses pre-computed swa_indices from vLLM's metadata for correct paged access.
     Returns: (1, NH, HD) attention output.
     """
-    pos = positions[0].item()
-    # Read all KV from position 0 to pos (inclusive)
-    all_slots = torch.arange(pos + 1, dtype=torch.int64, device=q.device)
-    kv_cached_fp8 = paged_kv_read(all_slots, swa_kv_cache, block_size, pos + 1, q.shape[2])
-    kv_inv_scales = swa_inv_scale[all_slots]
-    kv_cached = kv_dequantize_fp8(kv_cached_fp8, kv_inv_scales)
+    NH = q.shape[1]
+    HD = q.shape[2]
+    device = q.device
     
-    # Apply SWA window
-    window_start = max(0, pos - window_size + 1)
-    kv_window = kv_cached[window_start:]
+    if swa_indices is not None and swa_lens is not None:
+        # Use pre-computed paged indices from vLLM
+        num_valid = swa_lens[decode_token_idx].item()
+        indices = swa_indices[decode_token_idx, :num_valid]
+        block_indices = indices // block_size
+        offsets = indices % block_size
+        kv_cached_raw = swa_kv_cache[block_indices, offsets]
+        if swa_kv_cache.dtype == torch.uint8:
+            kv_cached_raw = kv_cached_raw.view(torch.float8_e4m3fn)
+        # Dequantize: for now use bf16 cast (fp8 → bf16 without per-token scale)
+        # TODO: store and read per-token inv_scale in paged cache
+        kv_cached = kv_cached_raw.to(torch.bfloat16)
+    else:
+        # Fallback: sequential slot access
+        pos = positions[0].item()
+        all_slots = torch.arange(pos + 1, dtype=torch.int64, device=device)
+        kv_cached_raw = paged_kv_read(all_slots, swa_kv_cache, block_size, pos + 1, HD)
+        kv_inv_scales = swa_inv_scale[all_slots]
+        kv_cached = kv_dequantize_fp8(kv_cached_raw, kv_inv_scales)
+        window_start = max(0, pos - window_size + 1)
+        kv_cached = kv_cached[window_start:]
     
-    return decode_attention(q, kv_window, scale)
+    q_t = q.permute(1, 0, 2)
+    kv_exp = kv_cached.unsqueeze(0).expand(NH, -1, -1)
+    out = F.scaled_dot_product_attention(q_t, kv_exp, kv_exp, is_causal=False, scale=scale)
+    return out.permute(1, 0, 2)
 
 
 def full_sdpa_attention(