According to one aspect, a tissue fastening device may include a first body including a proximal end, a distal end, and defining a longitudinal axis; and a fastening device coupled to the distal end of the first body. The fastening device may include a longitudinal body comprising a cartridge; the cartridge configured to hold one or more fasteners; an anvil rotatable relative to the cartridge of the longitudinal body; a fastener actuator configured to move relative to the cartridge to deploy the one or more fasteners from the cartridge; and an actuation wire coupled to the fastener actuator, extending through the first body, and positioned at least partially exterior to the longitudinal body, the cartridge, or the anvil.