Resection of a posterior fossa arteriovenous malformation complicated by leaked Onyx: a case report and review of literature.

Onyx extravasation is a rare complication during embolization of arteriovenous malformations (AVM). We present a case of embolization complicated by Onyx leak into the cerebellum later encountered during surgical excision of the AVM. Our goal is to report on these rare events and to outline the successful treatment of this complication.

patient records are reviewed for medical history, laboratory and radiological examinations, and outpatient follow-up clinics. A 62-year-old woman presented with a hunting Hess modified grade 2 and grade Fisher 2 subarachnoid hemorrhage (SAH) secondary to a ruptured left lower posterior cerebellar artery (PICA) aneurysm associated with vermian superior cerebellar AVM.

After endovascular intervention, totally embolized aneurysm; However, only 75% of the AVM can be safely eliminated. Onyx extravasation of aneurysm rupture was recorded on the first angiogram. Elective suboccipital craniectomy then planned for residual AVM resection where extravasated Onyx caused a disturbance during resection surgery. Post-op angiogram confirmed complete resection of the AVM, as well as most of the extravasated Onyx. Patients did well post-surgery, neurological residual intact during the course of the hospital.

Although rarely reported in the literature, Onyx extravasation is a potential complication that neurosurgeons have to be prepared to face. Compliance of Onyx into the surrounding parenchyma could inhibit optimal surgical resection of AVM and increased complications. Therefore, careful surgical dissection should be done with special care for delicate neurovasculature. In this case, a complete resection of the AVM and the mass of the Onyx safely reached.

TRIS
GP7166-100G	Glentham Life Sciences	100 g	EUR 52.8

TRIS
GP7166-1KG	Glentham Life Sciences	1 kg	EUR 97.2

TRIS
GP7166-250G	Glentham Life Sciences	250 g	EUR 62.4

TRIS
GP7166-500G	Glentham Life Sciences	500 g	EUR 72

Tris
TB0197	Bio Basic	500g	EUR 103.5

Tris-Phenolis
abx082108-250ml	Abbexa	250 ml	EUR 226.8

Tris-base
20-abx082498	Abbexa	EUR 393.60 EUR 243.60 EUR 493.20	1 kg 500 g 5 kg

Tris-Hcl
20-abx082568	Abbexa	EUR 226.80 EUR 276.00	100 g 500 g

Bis-Tris
BB0079	Bio Basic	25g	EUR 74.62

TRIS hydrochloride
B7299-500000	ApexBio	500 g	EUR 309.6

Tris DBA
B7402-50	ApexBio	50 mg	EUR 174

BIS-TRIS
B7772-100000	ApexBio	100 g	EUR 321.6

TRIS hydrochloride
GB4431-100G	Glentham Life Sciences	100 g	EUR 64.8

TRIS hydrochloride
GB4431-1KG	Glentham Life Sciences	1 kg	EUR 160.8

TRIS hydrochloride
GB4431-250G	Glentham Life Sciences	250 g	EUR 76.8

TRIS hydrochloride
GB4431-500G	Glentham Life Sciences	500 g	EUR 103.2

TRIS hydrochloride
GB4431-5KG	Glentham Life Sciences	5 kg	EUR 486

BIS-TRIS
GB6605-100G	Glentham Life Sciences	100 g	EUR 93.6

BIS-TRIS
GB6605-1KG	Glentham Life Sciences	1 kg	EUR 409.2

BIS-TRIS
GB6605-250G	Glentham Life Sciences	250 g	EUR 151.2

BIS-TRIS
GB6605-25G	Glentham Life Sciences	25 g	EUR 60

BIS-TRIS
GB6605-500G	Glentham Life Sciences	500 g	EUR 246

TRIS acetate
GB8936-500G	Glentham Life Sciences	500 g	EUR 342

Fostemsavir Tris
HY-15440B	MedChemExpress	5mg	EUR 308.4

Tris-Hcl
T9201-100	GenDepot	1Kg	EUR 355.2

Tris hydrochloride
TB0103	Bio Basic	250g	EUR 84.01

Tris acetate
TD0101	Bio Basic	100g	EUR 103.15

250G Tris
NAT1050	Scientific Laboratory Supplies	250G	EUR 48.79

TRIS Electrode
924030	Scientific Laboratory Supplies	EACH	EUR 192.66

TRIS 500G
17132101	Scientific Laboratory Supplies	EACH	EUR 80.94

Rat Monoclonal Anti-Dinitrophenyl (DNP) IgG1, aff pure (w/o azide)
DNP15-MW	Alpha Diagnostics	100 ug	EUR 534

Magnetic Wand with rubber grips for SPINE caps
MW-1C	MiTeGen	1 WAND	EUR 155
Description: Magnetic Wand with rubber grips for SPINE caps

Bis-Tris Propane
BB0238	Bio Basic	50g	EUR 128.9

BIS-TRIS hydrochloride
GK3758-100G	Glentham Life Sciences	100 g	EUR 217.2

BIS-TRIS hydrochloride
GK3758-250G	Glentham Life Sciences	250 g	EUR 380.4

BIS-TRIS hydrochloride
GK3758-25G	Glentham Life Sciences	25 g	EUR 98.4

BIS-TRIS propane
GB2945-100G	Glentham Life Sciences	100 g	EUR 180

BIS-TRIS propane
GB2945-250G	Glentham Life Sciences	250 g	EUR 322.8

BIS-TRIS propane
GB2945-25G	Glentham Life Sciences	25 g	EUR 84

BIS-TRIS propane
GB2945-500G	Glentham Life Sciences	500 g	EUR 562.8

Ketorolac tris salt
GP8482-100MG	Glentham Life Sciences	100 mg	EUR 90

Bis-Tris, 250g
R6976-250g	ACTGene		EUR 228

Bis-Tris, 500g
R6976-500g	ACTGene		EUR 370.8

Tris - Biotech Grade
TB0196	Bio Basic	500g	EUR 86.1

Tris-(hydroxymethyl) propane
T1491	Bio Basic	100g	EUR 90.28

1KG Tris Ultrapure
NAT1052	Scientific Laboratory Supplies	1KG	EUR 133.38

Tris EDTA Saline, 10mM Tris HCl , 1mM EDTA, 2M Nacl
T8059-010	GenDepot	100ml	EUR 91.2

Tris EDTA Saline, 10mM Tris HCl , 1mM EDTA, 2M Nacl
T8059-050	GenDepot	500ml	EUR 100.8

Tris EDTA Saline, 10mM Tris HCl , 1mM EDTA, 2M Nacl
T8059-101	GenDepot	1L	EUR 151.2

Tris EDTA Saline, 10mM Tris HCl , 1mM EDTA, 2M Nacl
T8150-050	GenDepot	500 ml	EUR 100.8

Tris EDTA Saline, 10mM Tris HCl , 1mM EDTA, 2M Nacl
T8150-801	GenDepot	8L	EUR 144

Tris (Molecular Biology Grade)
CE237	GeneOn	500 g	EUR 106.8

Tris (Molecular Biology Grade)
CE238	GeneOn	1 kg	EUR 153.6

Tris (Molecular Biology Grade)
CE239	GeneOn	5 kg	EUR 535.2

Tris-HCl (pH 6.8)
2106-100	Biovision		EUR 164.4

Tris-HCl (pH 8.8)
2107-100	Biovision		EUR 164.4

CEA protein (in TRIS)
30-AC26	Fitzgerald	1 mg	EUR 496.8
Description: Purified native Human CEA protein

Bis-tris (hydroxymethyl) aminomethane
abx082231-5g	Abbexa	5 g	EUR 210

Tris(2,2,2-trifluoroethyl) Borate
20-abx182700	Abbexa	EUR 627.60 EUR 276.00	10 g 1 g

Tris(dibenzylideneacetone)dipalladium(0)
20-abx184467	Abbexa	EUR 1796.40 EUR 594.00 EUR 276.00	100 g 25 g 5 g

1,1,1-Tris(hydroxymethyl)ethane
20-abx186111	Abbexa	EUR 226.80 EUR 260.40	100 g 500 g

tris(2,2,2-trifluoroethyl) borate
B8211-10	ApexBio	10 mg	EUR 129.6

tris(2,2,2-trifluoroethyl) borate
B8211-50	ApexBio	50 mg	EUR 226.8

1.5M Tris-HCI,pH8.8
AR1162	BosterBio	100mL	EUR 72

1M Tris-HCI,pH6.8
AR1163	BosterBio	100mL	EUR 72

Tris(4-aminophenyl)methane
HY-D0306	MedChemExpress	500mg	EUR 224.4

SDS-Urea-Tris solution
SB8896	Bio Basic	500ml	EUR 89.23

Tris - Ultra Pure Grade
TB0194	Bio Basic	500g	EUR 89.23

0.5M Tris Buffer (pH6.8)
T8102-010	GenDepot	100ml	EUR 96

0.5M Tris Buffer (pH6.8)
T8102-050	GenDepot	500ml	EUR 105.6

0.5M Tris Buffer (pH6.8)
T8102-100	GenDepot	2x500ml	EUR 121.2

Tris Base, Ultra Pure
T9200-100	GenDepot	1kg	EUR 200.4

Tris Base , Ultra Pure
T9200-500	GenDepot	5kg	EUR 619.2

Tris(23-dibromopropyl)phosphate
S-3773	Scientific Laboratory Supplies	1ML	EUR 69.54

HALO glass electrode TRIS
PHE1026	Scientific Laboratory Supplies	EACH	EUR 281.58

1 L 1M TRIS-HYDROCHLORIDE BUFFERS, 1M TRIS-HCI, PH 7.5, LIQUID
46-030-CM	CORNING	1L/pk	EUR 165.6
Description: Media Catalog; Classical Media

1 L 1M TRIS-HYDROCHLORIDE BUFFERS, 1M TRIS-HCI, PH 8.0, LIQUID
46-031-CM	CORNING	1L/pk	EUR 165.6
Description: Media Catalog; Classical Media

Tris - Hydrochloride (Molecular Biology Grade)
CE234	GeneOn	250 g	EUR 99.6

Tris - Hydrochloride (Molecular Biology Grade)
CE235	GeneOn	500 g	EUR 144

Tris - Hydrochloride (Molecular Biology Grade)
CE236	GeneOn	1 kg	EUR 223.2

Normal Antibody Diluent (Tris Buffered)
ADT125	ScyTek Laboratories	125 ml	EUR 88.8

Normal Antibody Diluent (Tris Buffered)
ADT500	ScyTek Laboratories	500 ml	EUR 121.2

Normal Antibody Diluent (Tris Buffered)
ADT999	ScyTek Laboratories	1000 ml	EUR 148.8

2,4,6-Tris(trichloromethyl)-1,3,5-triazine
20-abx186181	Abbexa	EUR 610.80 EUR 309.60	25 g 5 g

10x Tris-Glycine Buffer Solution
BA01806	Bioatlas	6x100ml	EUR 116.4
Description: High purity buffer for various PCR applications.

Phosphoenolpyruvic Acid Tris(cyclohexylammonium) Salt
B2675-100	Biovision	100mg	EUR 150

Phosphoenolpyruvic Acid Tris(cyclohexylammonium) Salt
B2675-500	Biovision	500mg	EUR 381.6

Tris Buffered Saline (TBS) Powder
AR0031	BosterBio	2000mL/pack	EUR 63.6

Tris-Glycine SDS Buffer Pack
AR1149	BosterBio	1L/pack	EUR 66

Primary Antibody Diluent (Tris, Green)
ATG-20000	ScyTek Laboratories	20 L	EUR 1412.4

Primary Antibody Diluent (Tris, Green)
ATG125	ScyTek Laboratories	125 ml	EUR 88.8

Primary Antibody Diluent (Tris, Green)
ATG500	ScyTek Laboratories	500 ml	EUR 121.2

Primary Antibody Diluent (Tris, Green)
ATG999	ScyTek Laboratories	1000 ml	EUR 148.8

Tris-(2-carboxyethyl)phosphine hydrochloride
GE1860-10G	Glentham Life Sciences	10 g	EUR 265.2

Tris-(2-carboxyethyl)phosphine hydrochloride
GE1860-1G	Glentham Life Sciences	1 g	EUR 93.6

Tris-(2-carboxyethyl)phosphine hydrochloride
GE1860-25G	Glentham Life Sciences	25 g	EUR 466.8

Tris-(2-carboxyethyl)phosphine hydrochloride
GE1860-5G	Glentham Life Sciences	5 g	EUR 180

10X Tris-Glycine SDS buffer
T8053-050	GenDepot	500ml	EUR 102

10X Tris-Glycine SDS buffer
T8053-100	GenDepot	2X500ml	EUR 133.2

10X Tris-Glycine SDS buffer
T8053-101	GenDepot	1L	EUR 118.8

10X Tris-Glycine SDS buffer
T8053-104	GenDepot	4 L	EUR 183.6

10X Tris-Glycine SDS buffer
T8053-200	GenDepot	4X500ml	EUR 163.2

10X Tris-Glycine SDS buffer
T8053-201	GenDepot	2X1L	EUR 162

10X Tris-Glycine SDS buffer
T8053-401	GenDepot	4X1L	EUR 206.4

1.5M Tris Buffer (pH 8.8)
T8101-010	GenDepot	100ml	EUR 96

1.5M Tris Buffer (pH 8.8)
T8101-050	GenDepot	500ml	EUR 105.6

1.5M Tris Buffer (pH 8.8)
T8101-100	GenDepot	2x500ml	EUR 121.2

Tris-HCl, 1M, 1XpH 7.4
USD8125	Bio Basic	500ml	EUR 93.41

450ML 20X Tris-MOPS SDS
NAT1210	Scientific Laboratory Supplies	450ML	EUR 80.94

450ML 20X Tris-MEPS SDS
NAT1212	Scientific Laboratory Supplies	450ML	EUR 80.94

Hanna pH Tris Combination Electrode
HI1144B	Scientific Laboratory Supplies	EACH	EUR 240.54

Tris(23-dibromopropyl)phosphate Neat
REPBDE0512	Scientific Laboratory Supplies	100MG	EUR 813.96

FiveEasy Plus FP20 FP20-TRIS
PHM0044	Scientific Laboratory Supplies	EACH	EUR 758.1

100g Tris Base Buffer Powder
61-233-RM	Scientific Laboratory Supplies	EACH	EUR 132.24

1000g Tris Base Buffer Powder
61-233-RR	Scientific Laboratory Supplies	EACH	EUR 220.02

5000g Tris Base Buffer Powder
61-233-RT	Scientific Laboratory Supplies	EACH	EUR 713.64

Tris Buffer (TB, pH 7.4) concentrate (10X, 50 mM Tris, pH 7.4 final)
80083-W	Alpha Diagnostics	1 L	EUR 270

MW-150
HY-120111	MedChemExpress	10mM/1mL	EUR 590.4

Tris Buffered Saline (TBS, pH 7.4) concentrate (10X, 100 mM Tris/150mM NaCl final)
80082	Alpha Diagnostics	1 L	EUR 270

Tris Buffered Saline (TBS, pH 7.4) concentrate (10X, 50 mM Tris/150mM NaCl final)
80083	Alpha Diagnostics	1 L	EUR 270

5X Bacterial Protein Extraction Reagent (Tris)
AKR-180	Cell Biolabs	50mL	EUR 331.2
Description: The Cell Biolabs Bacterial Protein Extraction Reagents contain a gentle, nonionic detergent formulation which quickly extracts functional, recombinant protein from E. coli without mechanical disruption.

TAE (Tris-Acetate-EDTA) Buffer (50X)
2116-500	Biovision		EUR 144

Tris buffer pH 7.4, 1000 ml
12-9198-10	Medicago	1000 ml	EUR 339.6

Tris buffer pH 8.0, 1000 ml
12-9199-10	Medicago	1000 ml	EUR 339.6

Tris buffer pH 8.3, 1000 ml
12-9200-10	Medicago	1000 ml	EUR 339.6

Tris-(dibenzylideneacetone)-dipalladium(O)-chloroform adduct
20-abx182701	Abbexa	EUR 292.80 EUR 577.20	1 g 5 g

2,4,6-Tris-(4-bromophenyl)[1,3,5]triazine
20-abx182980	Abbexa	EUR 276.00 EUR 1028.40 EUR 444.00	1 g 25 g 5 g

Tris(trifluoroMethanesulfonyl)Methane, 70% in water
20-abx185605	Abbexa	EUR 1144.80 EUR 577.20	1 g 250 mg

4-[Tris(4-Aminophenyl)Methyl]Aniline
20-abx188428	Abbexa	EUR 760.80 EUR 1612.80	1 g 5 g

10 x TBE (Tris/Borate/EDTA)
A00269	Bio Basic	500ml	EUR 67.63

TG Buffer (TRIS-GLYCINE) 10X Solution
A0028	Bio Basic	4L	EUR 113.76

10x Tris-Glycine Ready Mixed Powder
BA01707	Bioatlas	1L	EUR 102
Description: High purity buffer for various PCR applications.

10x Tris-Glycine-SDS Buffer Solution
BA01807	Bioatlas	6x100ml	EUR 123.6
Description: High purity buffer for various PCR applications.

Tris-Glycine SDS Running Buffer Pack
AR0139	BosterBio	1L/pack (for 5 assyas)	EUR 66

TRIS Ultrapure, 99.9%, Ph. Eur. grade
GB1923-100G	Glentham Life Sciences	100 g	EUR 64.8

TRIS Ultrapure, 99.9%, Ph. Eur. grade
GB1923-1KG	Glentham Life Sciences	1 kg	EUR 228

TRIS Ultrapure, 99.9%, Ph. Eur. grade
GB1923-250G	Glentham Life Sciences	250 g	EUR 94.8

TRIS Ultrapure, 99.9%, Ph. Eur. grade
GB1923-500G	Glentham Life Sciences	500 g	EUR 141.6

10 x TBS (Tris-buffered saline)
GR103023	Genorise Scientific	1 L	EUR 106.8