This case illustrates a puncture-site arterial narrowing due to complications resulting from the use of a suture-mediated closure device. We treated it successfully by balloon angioplasty. However, we could not explain how the complication occurred. Could we explain this finding as a thrombotic occlusion or an inflammatory reaction?

For evaluation of renal artery stenosis, a 75-year-old woman underwent a peripheral angiogram from a right femoral artery puncture, using a 6 French vascular sheath. …