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Gianturco coils are the most common choice for postoperative oral anticoagulation. The duration of anticoagulation is determined by the degree of arterial perfusion pressure and the duration of the procedure, and is usually 2 to 3 weeks. The risks of endoleak and graft kinking make follow-up imaging mandatory. First-line follow-up is with a CT angiogram, and if the aortic arch and proximal aorta are not patent, a spiral CT is recommended. If there is no endoleak or kinking, there is no need for follow-up with a CT. If there are endoleaks or kinking, the surgeon needs to make the decision regarding stent grafting or elective CT-angiogram at a later time. If graft kinking is present, the surgeon must decide whether to delay reintervention, increase the size of the graft, or perform a procedure to kink the graft back into a more normal position.
Aníbal Grima, BSc, graduated in Biomedical Sciences at the University of Sao Paulo, Brazil, and received his degree in Dental Biomaterials and Biotechnologies and PhD in Dentistry at the University of Oslo, Norway. After graduation, he moved to the University of Aberdeen, United Kingdom, to complete his Master of Science degree in Biomaterials Science. He is currently an Assistant Professor at the Federal University of Rio de Janeiro, Brazil, and is a Member of the editorial board of the Journal of Endodontics. Dr. Grima is a reviewer for scientific journals and is a reviewer for governmental agencies, including the Brazilian Space Research Agency (ANAE). He is the editor of Endodontics in Brazil ( here ).
Haixia He, DDS, MSc, obtained a Master’s degree from Hainan Medical University, Haikou, China, in 2008, and her PhD in Endodontics from the University of Tennessee, Knoxville, Tennessee, in 2016. Currently, she works as a visiting lecturer at the University of Toronto, Canada, and as a core faculty member at the University of Michigan, Ann Arbor, Michigan. She has published numerous articles, including in a recent issue of the Journal of Endodontics. The author of numerous published articles, the book Endodontic Regeneration, 3rd Edition, published by Quintessence in 2014, is in its second edition.
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