Arterial closure devices as well as methods for making using arterial closure devices are disclosed. An example arterial closure device may include a proximal
gasket configured to be positioned on a first side of a
blood vessel wall. The arterial closure device may include a distal
footplate configured to be positioned on a second side of the
blood vessel wall opposite the proximal
gasket. The arterial closure device may include a seal configured to be positioned on the first side of the
blood vessel wall between the proximal
gasket and the blood vessel wall. A tether may be coupled to at least the proximal gasket and the distal
footplate. A securement element may be disposed on the tether. The securement element may be configured to secure the proximal gasket and the seal against the first side of the blood vessel wall.