The PERTINI Method (Physician Gore Excluder Re-Sheathing Technique IN emergency Indications)

A simple technique for re-sheathing a physician-modified Gore C3 endograft

Two small sheaths with funnel-shaped ends, represent an original endograft re-sheathing system (ERS) for the Gore Excluder endoprosthesis.

“Step by step” description:
1) both sheaths are cut to a desired length (leaving a funnel-shaped side intact), to obtain two
endograft re-sheathing systems (proximal and distal ERS)
2) the distal ERS is preloaded on the delivery system with the funnel-shaped side facing
towards the tip of the prosthesis
3) the main body of the Endograft is partially deployed in the main trunk portion; the
contralateral gate is kept constrained by the distal ERS
4) Fenestrations are made by sharply incising the ePTFE, followed by a circumferential reinforcement suture with a cut gooseneck wire
5) the deployed portion of the Endograft is partially re-sheathed into the distal ERS by
pushing it forward. The nitinol barbs are left free
6) the Endograft re-sheathing is completed by introducing the proximal ERS from the tip until the
“funnel-shaped ends” touch each other
7) both ERS are moved distally. The proximal ERS profile allows the introduction of the graft
into the DrySeal sheath.

PERTINIMethod(Physician