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
TB0195	Bio Basic	500g	EUR 72.62

Tris
TB0197	Bio Basic	500g	EUR 86.25

TRIS
GP7166-100G	Glentham Life Sciences	100 g	EUR 44

TRIS
GP7166-1KG	Glentham Life Sciences	1 kg	EUR 81

TRIS
GP7166-250G	Glentham Life Sciences	250 g	EUR 52

TRIS
GP7166-500G	Glentham Life Sciences	500 g	EUR 60

Rat Monoclonal Anti-Dinitrophenyl (DNP) IgG1, aff pure (w/o azide)
DNP15-MW	Alpha Diagnostics	100 ug	EUR 445

Bis-Tris
BB0079	Bio Basic	25g	EUR 62.18

Tris-Phenolis
abx082108-250ml	Abbexa	250 ml	EUR 189

Tris-base
20-abx082498	Abbexa	EUR 328.00 EUR 203.00 EUR 411.00	1 kg 500 g 5 kg

Tris-Hcl
20-abx082568	Abbexa	EUR 189.00 EUR 230.00	100 g 500 g

Tris hydrochloride
TB0103	Bio Basic	250g	EUR 70.01

Tris acetate
TD0101	Bio Basic	100g	EUR 85.96

TRIS hydrochloride
GB4431-1KG	Glentham Life Sciences	1 kg	EUR 134

BIS-TRIS
GB6605-1KG	Glentham Life Sciences	1 kg	EUR 341

BIS-TRIS
GB6605-25G	Glentham Life Sciences	25 g	EUR 50

BIS-TRIS
GB6605-500G	Glentham Life Sciences	500 g	EUR 205

TRIS acetate
GB8936-500G	Glentham Life Sciences	500 g	EUR 285

TRIS hydrochloride
GB4431-100G	Glentham Life Sciences	100 g	EUR 54

TRIS hydrochloride
GB4431-250G	Glentham Life Sciences	250 g	EUR 64

TRIS hydrochloride
GB4431-500G	Glentham Life Sciences	500 g	EUR 86

TRIS hydrochloride
GB4431-5KG	Glentham Life Sciences	5 kg	EUR 405

BIS-TRIS
GB6605-100G	Glentham Life Sciences	100 g	EUR 78

BIS-TRIS
GB6605-250G	Glentham Life Sciences	250 g	EUR 126

250G Tris
NAT1050	National Diagnostics	250G	EUR 85

Fostemsavir Tris
HY-15440B	MedChemExpress	5mg	EUR 257

Tris-Hcl
T9201-100	GenDepot	1Kg	EUR 296

TRIS hydrochloride
B7299-500000	ApexBio	500 g	EUR 258

Tris DBA
B7402-50	ApexBio	50 mg	EUR 145

BIS-TRIS
B7772-100000	ApexBio	100 g	EUR 268

Bis-Tris Propane
BB0238	Bio Basic	50g	EUR 107.42

Tris-(hydroxymethyl) propane
T1491	Bio Basic	100g	EUR 75.23

Tris - Biotech Grade
TB0196	Bio Basic	500g	EUR 71.75

BIS-TRIS propane
GB2945-500G	Glentham Life Sciences	500 g	EUR 469

BIS-TRIS propane
GB2945-100G	Glentham Life Sciences	100 g	EUR 150

BIS-TRIS propane
GB2945-250G	Glentham Life Sciences	250 g	EUR 269

BIS-TRIS propane
GB2945-25G	Glentham Life Sciences	25 g	EUR 70

1KG Tris Ultrapure
NAT1052	National Diagnostics	1KG	EUR 148

BIS-TRIS hydrochloride
GK3758-100G	Glentham Life Sciences	100 g	EUR 181

BIS-TRIS hydrochloride
GK3758-250G	Glentham Life Sciences	250 g	EUR 317

BIS-TRIS hydrochloride
GK3758-25G	Glentham Life Sciences	25 g	EUR 82

Ketorolac tris salt
GP8482-100MG	Glentham Life Sciences	100 mg	EUR 75

Bis-Tris, 250g
R6976-250g	ACTGene		EUR 190

Bis-Tris, 500g
R6976-500g	ACTGene		EUR 309

Tris EDTA Saline, 10mM Tris HCl , 1mM EDTA, 2M Nacl
T8059-010	GenDepot	100ml	EUR 76

Tris EDTA Saline, 10mM Tris HCl , 1mM EDTA, 2M Nacl
T8059-050	GenDepot	500ml	EUR 84

Tris EDTA Saline, 10mM Tris HCl , 1mM EDTA, 2M Nacl
T8059-101	GenDepot	1L	EUR 126

Tris EDTA Saline, 10mM Tris HCl , 1mM EDTA, 2M Nacl
T8150-050	GenDepot	500 ml	EUR 84

Tris EDTA Saline, 10mM Tris HCl , 1mM EDTA, 2M Nacl
T8150-801	GenDepot	8L	EUR 120

CEA protein (in TRIS)
30-AC26	Fitzgerald	1 mg	EUR 414
Description: Purified native Human CEA protein

Tris-HCl (pH 6.8)
2106-100	Biovision		EUR 137

Tris-HCl (pH 8.8)
2107-100	Biovision		EUR 137

1,1,1-Tris(hydroxymethyl)ethane
20-abx186111	Abbexa	EUR 189.00 EUR 217.00	100 g 500 g

Tris (Molecular Biology Grade)
CE237	GeneOn	500 g	EUR 89

Tris (Molecular Biology Grade)
CE238	GeneOn	1 kg	EUR 128

Tris (Molecular Biology Grade)
CE239	GeneOn	5 kg	EUR 446

1.5M Tris-HCI,pH8.8
AR1162	BosterBio	100mL	EUR 60

1M Tris-HCI,pH6.8
AR1163	BosterBio	100mL	EUR 60

Tris(2,2,2-trifluoroethyl) Borate
20-abx182700	Abbexa	EUR 523.00 EUR 230.00	10 g 1 g

Tris(dibenzylideneacetone)dipalladium(0)
20-abx184467	Abbexa	EUR 1497.00 EUR 495.00 EUR 230.00	100 g 25 g 5 g

Bis-tris (hydroxymethyl) aminomethane
abx082231-5g	Abbexa	5 g	EUR 175

Tris - Ultra Pure Grade
TB0194	Bio Basic	500g	EUR 74.36

SDS-Urea-Tris solution
SB8896	Bio Basic	500ml	EUR 74.36

Tris(4-aminophenyl)methane
HY-D0306	MedChemExpress	500mg	EUR 187

0.5M Tris Buffer (pH6.8)
T8102-010	GenDepot	100ml	EUR 80

0.5M Tris Buffer (pH6.8)
T8102-050	GenDepot	500ml	EUR 88

0.5M Tris Buffer (pH6.8)
T8102-100	GenDepot	2x500ml	EUR 101

Tris Base, Ultra Pure
T9200-100	GenDepot	1kg	EUR 167

Tris Base , Ultra Pure
T9200-500	GenDepot	5kg	EUR 516

tris(2,2,2-trifluoroethyl) borate
B8211-10	ApexBio	10 mg	EUR 108

tris(2,2,2-trifluoroethyl) borate
B8211-50	ApexBio	50 mg	EUR 189

1 L 1M TRIS-HYDROCHLORIDE BUFFERS, 1M TRIS-HCI, PH 7.5, LIQUID
46-030-CM	CORNING	1L/pk	EUR 138
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 138
Description: Media Catalog; Classical Media

Phosphoenolpyruvic Acid Tris(cyclohexylammonium) Salt
B2675-100	Biovision	100mg	EUR 125

Phosphoenolpyruvic Acid Tris(cyclohexylammonium) Salt
B2675-500	Biovision	500mg	EUR 318

2,4,6-Tris(trichloromethyl)-1,3,5-triazine
20-abx186181	Abbexa	EUR 509.00 EUR 258.00	25 g 5 g

Tris - Hydrochloride (Molecular Biology Grade)
CE234	GeneOn	250 g	EUR 83

Tris - Hydrochloride (Molecular Biology Grade)
CE235	GeneOn	500 g	EUR 120

Tris - Hydrochloride (Molecular Biology Grade)
CE236	GeneOn	1 kg	EUR 186

Tris Buffered Saline (TBS) Powder
AR0031	BosterBio	2000mL/pack	EUR 53

Tris-Glycine SDS Buffer Pack
AR1149	BosterBio	1L/pack	EUR 55

Tris-(2-carboxyethyl)phosphine hydrochloride
GE1860-10G	Glentham Life Sciences	10 g	EUR 221

Tris-(2-carboxyethyl)phosphine hydrochloride
GE1860-1G	Glentham Life Sciences	1 g	EUR 78

Tris-(2-carboxyethyl)phosphine hydrochloride
GE1860-25G	Glentham Life Sciences	25 g	EUR 389

Tris-(2-carboxyethyl)phosphine hydrochloride
GE1860-5G	Glentham Life Sciences	5 g	EUR 150

450ML 20X Tris-MOPS SDS
NAT1210	National Diagnostics	450ML	EUR 109

450ML 20X Tris-MEPS SDS
NAT1212	National Diagnostics	450ML	EUR 109

Tris-HCl, 1M, 1XpH 7.4
USD8125	Bio Basic	500ml	EUR 77.84

10x Tris-Glycine Buffer Solution
BA01806	Bioatlas	6x100ml	EUR 97
Description: High purity buffer for various PCR applications.

10X Tris-Glycine SDS buffer
T8053-050	GenDepot	500ml	EUR 85

10X Tris-Glycine SDS buffer
T8053-100	GenDepot	2X500ml	EUR 111

10X Tris-Glycine SDS buffer
T8053-101	GenDepot	1L	EUR 99

10X Tris-Glycine SDS buffer
T8053-104	GenDepot	4 L	EUR 153

10X Tris-Glycine SDS buffer
T8053-200	GenDepot	4X500ml	EUR 136

10X Tris-Glycine SDS buffer
T8053-201	GenDepot	2X1L	EUR 135

10X Tris-Glycine SDS buffer
T8053-401	GenDepot	4X1L	EUR 172

1.5M Tris Buffer (pH 8.8)
T8101-010	GenDepot	100ml	EUR 80

1.5M Tris Buffer (pH 8.8)
T8101-050	GenDepot	500ml	EUR 88

1.5M Tris Buffer (pH 8.8)
T8101-100	GenDepot	2x500ml	EUR 101

Normal Antibody Diluent (Tris Buffered)
ADT125	ScyTek Laboratories	125 ml	EUR 74

Normal Antibody Diluent (Tris Buffered)
ADT500	ScyTek Laboratories	500 ml	EUR 101

Normal Antibody Diluent (Tris Buffered)
ADT999	ScyTek Laboratories	1000 ml	EUR 124

Primary Antibody Diluent (Tris, Green)
ATG-20000	ScyTek Laboratories	20 L	EUR 1177

Primary Antibody Diluent (Tris, Green)
ATG125	ScyTek Laboratories	125 ml	EUR 74

Primary Antibody Diluent (Tris, Green)
ATG500	ScyTek Laboratories	500 ml	EUR 101

Primary Antibody Diluent (Tris, Green)
ATG999	ScyTek Laboratories	1000 ml	EUR 124

Tris Buffer (TB, pH 7.4) concentrate (10X, 50 mM Tris, pH 7.4 final)
80083-W	Alpha Diagnostics	1 L	EUR 225

MW-150
HY-120111	MedChemExpress	10mM/1mL	EUR 492

Tris Buffered Saline (TBS, pH 7.4) concentrate (10X, 100 mM Tris/150mM NaCl final)
80082	Alpha Diagnostics	1 L	EUR 225

Tris Buffered Saline (TBS, pH 7.4) concentrate (10X, 50 mM Tris/150mM NaCl final)
80083	Alpha Diagnostics	1 L	EUR 225

TAE (Tris-Acetate-EDTA) Buffer (50X)
2116-500	Biovision		EUR 120

10 x TBE (Tris/Borate/EDTA)
A00269	Bio Basic	500ml	EUR 56.36

TG Buffer (TRIS-GLYCINE) 10X Solution
A0028	Bio Basic	4L	EUR 94.8

Tris buffer pH 7.4, 1000 ml
12-9198-10	Medicago	1000 ml	EUR 283

Tris buffer pH 8.0, 1000 ml
12-9199-10	Medicago	1000 ml	EUR 283

Tris buffer pH 8.3, 1000 ml
12-9200-10	Medicago	1000 ml	EUR 283

4-[Tris(4-Aminophenyl)Methyl]Aniline
20-abx188428	Abbexa	EUR 634.00 EUR 1344.00	1 g 5 g

Tris-Glycine SDS Running Buffer Pack
AR0139	BosterBio	1L/pack (for 5 assyas)	EUR 55

5X Bacterial Protein Extraction Reagent (Tris)
AKR-180	Cell Biolabs	50mL	EUR 276
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.

Tris-(dibenzylideneacetone)-dipalladium(O)-chloroform adduct
20-abx182701	Abbexa	EUR 244.00 EUR 481.00	1 g 5 g

2,4,6-Tris-(4-bromophenyl)[1,3,5]triazine
20-abx182980	Abbexa	EUR 230.00 EUR 857.00 EUR 370.00	1 g 25 g 5 g

Tris(trifluoroMethanesulfonyl)Methane, 70% in water
20-abx185605	Abbexa	EUR 954.00 EUR 481.00	1 g 250 mg

100 G TRIS BASE BUFFER, POWDER
61-233-RM	CORNING	100 g/pk	EUR 136
Description: Media Catalog; Buffered Salt-Salution

1000 G TRIS BASE BUFFER, POWDER
61-233-RR	CORNING	1000 g/pk	EUR 182
Description: Media Catalog; Buffered Salt-Salution

5000 G TRIS BASE BUFFER, POWDER
61-233-RT	CORNING	5000 g/pk	EUR 434
Description: Media Catalog; Buffered Salt-Salution

TRIS Ultrapure, 99.9%, Ph. Eur. grade
GB1923-100G	Glentham Life Sciences	100 g	EUR 54

TRIS Ultrapure, 99.9%, Ph. Eur. grade
GB1923-1KG	Glentham Life Sciences	1 kg	EUR 190

TRIS Ultrapure, 99.9%, Ph. Eur. grade
GB1923-250G	Glentham Life Sciences	250 g	EUR 79

TRIS Ultrapure, 99.9%, Ph. Eur. grade
GB1923-500G	Glentham Life Sciences	500 g	EUR 118

1L Tris-Glycine Electroblotting Buffer 10X
NAT1240	National Diagnostics	1L	EUR 85

4L Tris-Glycine Electroblotting Buffer 10X
NAT1242	National Diagnostics	4L	EUR 121

1L TBS (10X) Tris Buffered Saline
NAT1244	National Diagnostics	1L	EUR 105

1L Tris-HCL 1M pH 7.2
NAT1290	National Diagnostics	1L	EUR 105

1L Tris-HCL 1M pH 7.4
NAT1292	National Diagnostics	1L	EUR 105

1L Tris-HCL 1M pH 7.6
NAT1294	National Diagnostics	1L	EUR 105

TG Buffer (Tris-Glycine) 10X Solution
UA0028	Bio Basic	500ml	EUR 59.4

Tris-HCl, 1M, 1X, pH 8.0
USD8127	Bio Basic	500ml	EUR 77.84

Tris-HCl, 1M, 1X, pH 7.0
USD8137	Bio Basic	500ml	EUR 77.84

10x Tris-Glycine Ready Mixed Powder
BA01707	Bioatlas	1L	EUR 85
Description: High purity buffer for various PCR applications.