Remote suturing for percutaneous closure of popliteal artery access

We present a case of balloon angioplasty of the superficial femoral artery via a popliteal artery access with successful percutaneous vascular closure of the vascular access site (6-F Techstar). A femoral arterial approach had not been feasible due to previous aorto-femoral and femoro-femoral bypass operations. Clinical and ultrasound follow-up showed no complications up to 3 months after remote suturing.