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It can also be emotionally and financially draining, and you may never get your day in court. Talk with your family, and take the uphill nature of the battle into account. If your case is strong, you may be able to persuade your employer to settle with you.
Research shows employers are inclined to settle out of court in cases where employees have solid evidence of age bias. Make sure to document remarks by your managers and others that you perceive as discriminatory. Keep emails and any other documentation that helps your case.
Then take these steps: If at all possible, file a charge within days of the discriminatory action or when you first became aware of the discriminatory action, whichever occurred first. In some states, the time limit for filing a charge is extended to days. However, filing within days is recommended, to be on the safe side.
Follow-up angiograms, typically obtained at six and 18 months, were reviewed for data on stent patency and aneurysm recurrence.
Stent-related complications, including delayed stent migration and in-stent stenosis, were also recorded. Antiplatelet regimen All the subjects with unruptured or non-acute ruptured aneurysms had been treated with dual antiplatelet therapy 75 mg clopidogrel and mg aspirin per day for five days prior to SAC. In the acute phase of the ruptured aneurysms, heparin was injected at the beginning and was maintained for 48 h. Four clopidogrel pills mg were crushed and injected into the nasogastric tube 2 h prior to surgery.
The adequacy of the systemic anticoagulation therapy was monitored by frequent measurements of the activated clotting time ACT.
Endovascular procedure A biplane flat panel digital subtraction unit Neurostar or Axiom Artis; Siemens Healthcare, Erlangen, Germany was used to performed the endovascular procedure.
Over a 0. The aneurysm was then embolized once the coiling catheter was navigated within the aneurysm sac. Following the coiling procedure, the stent was pushed through the microcatheter and aligned directly across the neck of the aneurysm. When the appropriate position was achieved, the microcatheter was gently pulled back to unsheathe the stent.
The stent would not be fully deployed until the distal markers were completely open. Typically, after full deployment, the position was confirmed by routine diagnostic cerebral angiography.
Two stents could be inserted under a necessary position, while for an imperative reposition, repeating the aforementioned processes was required. Microplex coils MicroVention, Inc.
Following an ideal coiling embolization, the stent was detached from the push wire subsequent to routine diagnostic cerebral angiography using a high-resolution biplane angiographic unit. Packing density Packing density, also known as the volume embolization ratio, was calculated as the ratio of the volume of the deployed coils to the aneurysm volume. The coil volume was calculated by summing the individual coil volumes, as indicated by the manufacturers.
Aneurysm dimensions were measured by 3D images derived from rotational angiography. Subsequently, the aneurysm volume and packing density were calculated using Angiocalc software available at http: Follow-up examination Angiographic follow-up examinations were performed with conventional angiography at six and 12 months post-surgery, and every year annually thereafter.
For follow-up imaging, the patients underwent conventional digital subtraction angiography DSA or magnetic resonance angiography, or both. DSA was used for sole analysis whenever available. All the treated aneurysms were graded independently by two interventional neuroradiologists, using several views for each treated aneurysm, including 3D angiography. The angiographic results were classified according to the Raymond-Roy Occlusion Classification Complete occlusion class 1 , neck remnant class 2 and residual aneurysm class 3.
Changes in the angiographic outcome were classified as follows: Stable no change in coil configuration, obliteration grade or contrast filling , improved progressive occlusion or involution of the neck remnant or contrast filling in the aneurysm and recanalized aneurysm recurrence evident due to neck growth, coil compaction, coil extrusion by aneurysm degradation or new sac formation.