Abstract
Vascular closure devices are widely utilized following endovascular procedures. Device-related femoral artery occlusion is rarely reported with no consensus on the treatment strategy. This is a case report of a 43-year-old lady who developed common femoral artery occlusion and acute limb ischemia after an urgent uterine artery embolization with a suture-mediated vascular closure device deployed at the common femoral artery. Posterior wall capture was found on surgical exploration. Patient was treated successfully with surgery. The observations from surgical intervention and potential mechanism of device failure are discussed. Operators should be aware of posterior wall capture as a mechanism of arterial occlusion by suture-mediated vascular closure device despite seemingly normal deployment process, with particular attention to young patients or patients with small vessel caliber.