The management of non-culprit vessel(s) in patients with unstable angina/non-ST elevation myocardial infarction and chronic kidney dysfunction.

BACKGROUND AND AIMS: The clinical effects of multivessel interventions in patients with unstable angina/non-ST-segment elevation myocardial infarction (UA/NSTEMI), multivessel disease (MVD) and chronic kidney disease (CKD) remain uncertain. This study aimed to investigate the safety and effectiveness of intervention in non-culprit lession(s) among this cohort. METHODS: We consecutively included patients diagnosed with UA/NSTEMI, MVD and CKD between January 2008 and December 2018 at our centre. After successful percutaneous coronary intervention (PCI), we compared 48-month overall mortality between those undergoing multivessel PCI (MV-PCI) through a single-procedure or staged-procedure approach and culprit vessel-only PCI (CV-PCI) after 1:1 propensity score matching. We conducted stratified analyses and tests for interaction to investigate the modifying effects of critical covariates. Additionally, we recorded the incidence of contrast-induced nephropathy (CIN) to assess the perioperative safety of the two treatment strategies. RESULTS: Of the 749 eligible patients, 271 pairs were successfully matched. Those undergoing MV-PCI had reduced all-cause mortality (hazard ratio (HR): 0.67, 95% confidence interval (CI): 0.48-0.67). Subgroup analysis showed that those with advanced CKD (estimated glomerular filtration rate (eGFR) ≤ 30 mL/min/1.73 m2 ) could not benefit from MV-PCI (P = 0.250), and the survival advantage also tended to diminish in diabetes (P interaction < 0.01; HR = 0.95, 95% CI = 0.65-1.45). Although the staged-procedure approach (N = 157) failed to bring additional survival benefits compared to single-procedure MV-PCI (N = 290) (P = 0.460), it showed a tendency to decrease the death risk. CIN risks in MV-PCI and CV-PCI groups were not significantly different (risk ratio = 1.60, 95% CI = 0.94-2.73). CONCLUSION: Among patients with UA/NSTEMI and non-diabetic CKD and an eGFR > 30 mL/min/1.73 m2 , MV-PCI was associated with a reduced risk of long-term death but did not increase the incidence of CIN during the management of MVD compared to CV-PCI. And staged procedures might be a preferable option over single-procedure MV-PCI.

Simulation Study on Molecular Behavior of Rhamnolipids and Biobased Zwitterionic Surfactants at the Oil/Water Interface: Effect of Rhamnose Moiety Structures.

Molecular behavior of rhamnolipid mixed with a biobased zwitterionic surfactant at an n-hexadecane/water interface has been studied, and the effects of a rhamnose moiety and composition are evaluated. Results showed that rhamnolipid abundantly interacts with biobased surfactant EAB by means of hydrophobic interactions between aliphatic tails and electrostatic interactions between headgroups, including the attractive interaction between COO- of rhamnolipids and N+ of biobased surfactants and the repulsive interaction between COO- of both surfactants. Dirhamnolipid has a larger number of bound Na+ and a more stable bound structure of COO- ∼ Na+, which screens the repulsive interaction between two kinds of surfactants and shows a more homogeneous distribution with biobased surfactants. The interfacial tension between n-hexadecane and water has been synergistically reduced by dirhamnolipids mixed with biobased surfactants at a higher molar ratio of biobased surfactants. Monorhamnolipids show a strengthened interaction with N+ of biobased surfactants and a more stable hydrogen bond with water relative to that of dirhamnolipids, and there is no synergistic effect in lowering the interfacial tension for the mixture of monorhamnolipids and biobased surfactants. The present work provides details of the molecular behavior of biosurfactant rhamnolipids mixed with biobased surfactants and obtains the key factor in affecting the interfacial properties of the binary system.

In situ micro-emulsification during surfactant enhanced oil recovery: A microfluidic study.

HYPOTHESIS: It is generally believed that the improved efficiency of surfactant enhanced oil recovery (EOR) comes from ultra-low interfacial tension (IFT) between oil and surfactant solution owing to the formation of middle-phase microemulsion. However, hindered visibility in underground porous media prevents direct observation of in situ generation of middle-phase microemulsion during surfactant flooding. Thus, direct visualization of the process is vital, and could clarify its contribution to EOR. EXPERIMENTS: Micro-emulsification of a displacing fluid containing sodium 4-dodecylbenzenesulfonate and alcohol propoxy sulfate with model oil was investigated. Phase diagrams were drawn using salinity scans, and the influence of polymer on emulsification was analyzed. Micro-emulsification was monitored through in situ fluorescent tagging via 2D-microfluidics and ex situ visualization via cryo-electron microscopy and small angle X-ray scattering. Its contribution to the oil recovery factor was quantified by measuring the volume of each phase in the eluates. FINDINGS: On-chip experiments indicated that in situ micro-emulsification occurred when the prescreened surfactant solution flowed in contact with trapped oil. The aqueous phase initially invaded the residual oil, forming a low mobility microemulsion. This microemulsion was then diluted by subsequent displacing fluid, forming a new driving fluid that caused ultra-low IFT in the trapped oil downstream. Under the synergistic effect of micellar solubilization and trapped-oil mobilization, the recovery factor could be increased by up to 40% over waterflooding and 43% on polymer inclusion in the formulation.

13C Solid-State NMR Analysis of the Chemical Structure in Petroleum Coke during Idealized In Situ Combustion Conditions.

Petroleum cokes with different chemical structures and oxygen-containing functional groups were obtained from two kinds of naphthenic- and paraffin-base crude oils by simulating an in situ combustion (ISC) process with the same reaction atmosphere and different reaction temperatures. 13C wide-cavity solid-state nuclear magnetic resonance (13C NMR) spectroscopy was used to identify and investigate the oxygen-containing functional groups of petroleum cokes obtained under different compositions and reaction temperatures. This study demonstrated that with the increase of coking temperature, the content of alkyl side chain and active oxygen-containing functional groups in naphthenic-base crude coke decreased obviously, while the content of aromatic carbon increased. The 13C NMR analysis of the two kinds of petroleum cokes obtained at 500 °C further revealed that the paraffin-base petroleum coke retained a high content of oxygen- and nitrogen-rich functional groups, while the naphthenic-base petroleum coke had a lower amount of carbonyl groups and oxygen-containing functional groups.

Oil solubilization in sodium dodecylbenzenesulfonate micelles: New insights into surfactant enhanced oil recovery.

HYPOTHESIS: The current mechanism of surfactant enhanced oil recovery (EOR) mainly relies on forming middle-phase microemulsions to get ultra-low oil-water interfacial tension. However, residual oil can also be recovered using low concentration surfactant solutions without microemulsion formation, and the interaction between the surfactant solution and crude oil at very early contact has not been studied yet. We hypothesize micelle solubilization of oil as an alternative EOR mechanism. EXPERIMENTS: Sodium dodecylbenzenesulfonate (SDBS), anisole and 1-hexene were used as a model surfactant and model polar and nonpolar compounds in crude oil, respectively. The interaction between SDBS micelles and these two additives was investigated with dynamic light scattering, UV-Vis spectroscopy, 1H NMR spectroscopy, cryogenic transmission electron microscopy, confocal microscope and small angle neutron scattering. FINDINGS: SDBS micelles become larger upon increasing additive concentration to transfer into swollen micelles. 1-Hexene is localized in the micelle core, and retains the spherical micelle shape, while anisole resides in the palisade layer and weakens the electrostatic repulsions among surfactant headgroups, inducing a sphere-rod transition. No emulsion droplets were observed for 0.2 wt% SDBS solution until 1.5 wt% anisole or 1-hexene was introduced. These findings help understanding the role surfactant micelles in EOR and propose a new mechanism for surfactant EOR processes.

Micellar Aggregation Behavior of Alkylaryl Sulfonate Surfactants for Enhanced Oil Recovery.

Alkylaryl sulfonate is a typical family of surfactants used for chemically enhanced oil recovery (EOR). While it has been widely used in surfactant-polymer flooding at Karamay Oilfield (40 °C, salinity 14,000 mg/L), its aggregation behavior in aqueous solutions and the contribution of aggregation to EOR have not been investigated so far. In this study, raw naphthenic arylsulfonate (NAS) and its purified derivatives, alkylaryl monosulfonate (AMS) and alkylaryl disulfonate (ADS), were examined under simulated temperature and salinity environment of Karamay reservoirs for their micellar aggregation behavior through measuring surface tension, micellar size, and micellar aggregation number. It was found that all three alkylaryl sulfonate surfactants could significantly lower the surface tension of their aqueous solutions. Also, it has been noted that an elevation both in temperature and salinity reduced the surface tension and critical micellar concentration. The results promote understanding of the performance of NAS and screening surfactants in EOR.

Molecular dynamics and composition of crude oil by low-field nuclear magnetic resonance.

Nuclear magnetic resonance (NMR) techniques are widely used to identify pure substances and probe protein dynamics. Oil is a complex mixture composed of hydrocarbons, which have a wide range of molecular size distribution. Previous work show that empirical correlations of relaxation times and diffusion coefficients were found for simple alkane mixtures, and also the shape of the relaxation and diffusion distribution functions are related to the composition of the fluids. The 2D NMR is a promising qualitative evaluation method for oil composition. But uncertainty in the interpretation of crude oil indicated further study was required. In this research, the effect of each composition on relaxation distribution functions is analyzed in detail. We also suggest a new method for prediction of the rotational correlation time distribution of crude oil molecules using low field NMR (LF-NMR) relaxation time distributions. A set of down-hole NMR fluid analysis system is independently designed and developed for fluid measurement. We illustrate this with relaxation-relaxation correlation experiments and rotational correlation time distributions on a series of hydrocarbon mixtures that employ our laboratory-designed downhole NMR fluid analyzer. The LF-NMR is a useful tool for detecting oil composition and monitoring oil property changes. Copyright © 2016 John Wiley & Sons, Ltd.