Access site management system for percutaneous vascular access

A method of cinching a vascular access site, the method comprising:

• providing a cinching device, the cinching device comprising:
• a tensioning tube comprising a resilient member disposed within the tensioning tube;
• and
• a plurality of sutures extending axially between a distal end of the tensioning tube and a proximal end of the tensioning tube, wherein:
• a proximal end of each of the plurality of sutures is configured to directly couple with the resilient member such that movement of the plurality of sutures causes compression or extension of the resilient member within the tensioning tube, and
• the compression or extension of the resilient member enables, via the plurality of sutures, reversible opening or closing of the vascular access site within a blood vessel;
• attaching distal ends of the plurality of sutures at least partially around the vascular access site;
• inserting a medical device into the vascular access site;
• retracting the medical device from the access site, the retracting causing dynamic and reversible cinching of the vascular access site situated between the distal ends of the plurality of sutures by compression or extension of the resilient member within the tensioning tube,
• a tensioning tube comprising a resilient member disposed within the tensioning tube;
• and
• a plurality of sutures extending axially between a distal end of the tensioning tube and a proximal end of the tensioning tube, wherein a proximal end of each of the plurality of sutures is configured to attach to the resilient member such that movement of the plurality of sutures causes compression or extension of the resilient member within the tensioning tube.