However, embolization of cerebral vascular lesions using other materials seem quite different. Kjellin et Al5 reported therapeutic embolization of cerebral arteriovenous malformations in children. The chest radiographs in 35% patients showed pulmonary deposits of embolic material: cyanoacrylate in ten patients and platinum coils in two. Two of the patients with scattered cyanoacrylate deposits in the lungs developed respiratory distress that required endotracheal intubation. Pelz et Al 6 reported three patients had pulmonary symptoms within 48 hours of glue injection. One patient was embolized with an isobutyl-2-cyanoacrylate (IBCA) /pantopaque/acetic acid mixture; severe pleuritic chest pain developed two days later. The other two patients were embolized with n-butyl-2-cyanoacrylate (NBCA)/lipiodol mixtures; a cough, pleuritic chest pain and bloody sputum developed in both within 24 hours. Two patients experienced a significant drop in PO2. All patients demonstrated significant changes (multiple peripheral radiodensities) on chest x-ray and CT chest examinations. All were treated conservatively and recovered spontaneously. The author emphasized the techniques used like flow-arrest. Fernandez et Al7 reported a case of cyanoacrylate pulmonary embolism after embolization of a cerebral arteriovenous malformation. The patients gradually improved after one to ten days with conservative treatment. Kline et Al 8 reported symptomatic pulmonary emboli and infarction following an uneventful embolization using polyvinyl alcohol particles. Nonselective pulmonary angiogram revealed distal nonopacification, consistent with microembolization of peripheral small vessels.

Another reason is that Onyx is a biocompatible polymer containing ethyl-vinyl alcohol dissolved in dimethyl sulfoxide (DMSO). It is characterized by a different solidi?cation process consisting of a copolymer precipitation. Unlike NBCA or IBCA polymerization, which is triggered by contact with ionic solutions such as blood or saline, Onyx presents a liquid form when injected and a solid form when in contact with blood through precipitation after the dimethyl sulfoxide evaporates, thus allowing for slower and longer injection rates, which can be better controlled. This should theoretically result in a more effective filling of the DAVF shunt, thus reducing the risk of the microcatheter adhering to the endothelium, or even of its untimely obstruction. Because Onyx is not absorbable, it is capable of producing permanent vascular occlusion. What is most important, Onyx has a lava-like flow pattern within blood vessels without any fragmentation during injection9,10. Even on the rare occasions it has penetrated the venous wall and translocated to the heart and lungs, Onyx would not scatter everywhere like NBCA, IBCA and other particle agents5-8, resulting in a diffuse pulmonary lesion.


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Howerver, even with the optimal cure of recent cases and the safety of the Onyx reported in the literature, the complication of the Onyx in transarterial embolization of DAVF cannot be overlooked, especially its distal embolization. Several factors were thought to be involved in Onyx solidifying at the fistulization point: the differential pressure near the fistula, the blood fluid direction, the speed of the blood fluid, the location of the fistulization point, the strength of the surgeon injecting the Onyx, etc. Our experience of 38 high-flow DAVFs demonstrated distal embolization of Onyx in only two patients (5%) (REF).

If the Onyx translocated to heart, the threat of thrombus formation in the heart and possible embolization of the lung is very real. Besides full heparinization during the procedure, it is our practice to treat our patients who undergo Onyx distal embolization with 1.5 mg of warfarin per day to maintain the INR within the range of 2.0-3.0 after the procedure. Emergency sonography of the heart is essential to evaluate the position, shape and the anterior and posterior pressure of the foreign substance. Furthermore, to lessen the incidence of delayed thromboembolism and long-term possible pulmonary embolization and infarction, patients are maintained on warfarin for a total of three to six months in addition to two years of 100mg aspirin per day. Use of warfarin increases the risk of bleeding, both internally and externally. To minimize the risk, people taking warfarin must have periodic blood tests to see how much their blood is anticoagulated. Doctors then use the blood test result to adjust the dose of warfarin.

The Resolute Onyx Zotarolimus-Eluting Coronary Stent System (Resolute Onyx) and Onyx Frontier Zotarolimus-Eluting Coronary Stent System (Onyx Frontier) are intended to treat a narrowed blood vessel (coronary artery) caused by coronary artery disease. Both systems consist of a metal stent, made of a cobalt alloy surrounding an inner core made of platinum/iridium alloy, and a catheter delivery system. The stent is coated with the drug zotarolimus and a polymer (BioLinx) coating to help deliver the drug at a controlled rate.

This approval expands the indications for use to include certain bifurcation lesions, which are a type of coronary artery disease in a blood vessel that intersects a smaller blood vessel, or side branch.

The Resolute Onyx and Onyx Frontier stent systems can be used in people who have a narrowing in their coronary arteries that involves two intersecting blood vessels (bifurcation lesion). The lesion should not involve the left main coronary artery (non-left main), and the planned treatment should be to place the stent in the main vessel, not the side branch (provisional stenting technique).

With the boat built, I turned back to the pitch. Several coats of White primer were sprayed on it. Once dry, I applied several coats of slightly diluted Woodland Scenics Stone Gray. The sand between the blocks was then washed with Woodland Scenics Burnt Umber. A few areas of the tiles were washed with Woodland Scenics Green Undercoat. Then small splatters of blood were made using Tamiya Clear Red acrylic with a tiny dash of GW Chaos Black added to darken it. A few tufts of grass were fixed in place with PVA glue and the white lines were painted using GW Skull White.

Grand Jewels (5,000 gp or more): clearest bright green emerald; diamond; jacinth; rubyGranted, it doesn't specify the weight of these, but I think it's assumed they are "gemstone sized" in that they could easily fit onto a ring or necklace. I don't think the weight would be an issue, even for 1,000 gp worth. AUC.register('auc_MessageboardPostRowDisplay'); AjaxBusy.register('masked', 'busy', 'auc_MessageboardPostRowDisplay', null, null) wraithstrike Oct 29, 2014, 11:51 pm 2 people marked this as a favorite. It is one of those things that most of us handwave. If they pay the money I let them use the onyx.

Keep in mind that the worth of a gem can be vastly modified by its cut and other factors. For example, if you buy an onyx gem that's been worked on by a master craftsman, etched with runes of power and other beautiful and intricate work, you could end up with a small sliver of onyx that's worth hundreds of gold, just from the craftsmanship. Magic cares about the final value of the item, not the original worth of the materials used to make it.

Or False Focus up to a point. AUC.register('auc_MessageboardPostRowDisplay'); AjaxBusy.register('masked', 'busy', 'auc_MessageboardPostRowDisplay', null, null) Imbicatus Oct 30, 2014, 11:11 am 1 person marked this as a favorite. A cabal of necromantic black-market racketeers corner the onyx market to keep the gp cost of onyx into chunks that are of a manageable size to use in necromancy.

It's 25gp worth of Onyx per hit dice of the creature you're trying to raise. What's a "hit dice" to the character doing the raising? How does the necromancer know which onyx to use? What happens if they pick one that's too small or two big? There's no rules regarding how to tell how many "hit dice" a corpse used to have.

Well, since the spell works with blood money it should work. This is like saying it doesn't work with False Focus just because you don't like it. AUC.register('auc_MessageboardPostRowDisplay'); AjaxBusy.register('masked', 'busy', 'auc_MessageboardPostRowDisplay', null, null) Cap. Darling Oct 30, 2014, 01:26 pm 1 person marked this as a favorite. Taku Ooka Nin wrote: RumpinRufus wrote:Except no GM in their right mind would ever allow the Blood Money spell.Well, since the spell works with blood money it should work. This is like saying it doesn't work with False Focus just because you don't like it. A GM can disallow a Spell or a feat! AUC.register('auc_MessageboardPostRowDisplay'); AjaxBusy.register('masked', 'busy', 'auc_MessageboardPostRowDisplay', null, null) JRutterbush Nov 1, 2014, 11:43 am Cap. Darling wrote: Taku Ooka Nin wrote: RumpinRufus wrote:Except no GM in their right mind would ever allow the Blood Money spell.Well, since the spell works with blood money it should work. This is like saying it doesn't work with False Focus just because you don't like it. A GM can disallow a Spell or a feat! There's a difference between saying "A GM can disallow a spell or feat." and saying "Any GM in their right mind would disallow this spell or feat." When discussing the game online, without knowing about how a specific group does their house rules, it's generally pretty pointless to assume that a GM is banning something just because you would ban it if you were GM.If the one asking the question says "I can't use X because my GM banned it.", that's one thing. But when a viable option to do something is presented, you can't just ignore it by saying that a GM might ban it. 2351a5e196

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