335 research outputs found

    Stable and unstable miscible displacements in layered porous media

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    The effect of permeability heterogeneities and viscosity variations on miscible displacement processes in porous media is examined using high-resolution numerical simulations and reduced theoretical modelling. The planar injection of one fluid into a fluid-saturated, two-dimensional porous medium with a permeability that varies perpendicular to the flow direction is studied. Three cases are considered, in which the injected fluid is equally viscous, more viscous or less viscous than the ambient fluid. In general it is found that the flow in each case evolves through three regimes. At early times, the flow exhibits the concentration evolves diffusively, independent of both the permeability structure and the viscosity ratio. At intermediate times, the flow exhibits different dynamics including channelling and fingering, depending on whether the injected fluid is more or less viscous than the ambient fluid, and depending on the relative magnitude of the viscosity and permeability variations. Finally, at late times, the flow becomes independent of the viscosity ratio and dominated by shear-enhanced (Taylor) dispersion. For each of the regimes identified above, we develop reduced-order models for the evolution of the transversely averaged concentration and compare them to the full numerical simulations

    The dynamics of miscible viscous fingering from onset to shutdown

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    We examine the full ‘life cycle’ of miscible viscous fingering from onset to shutdown with the aid of high-resolution numerical simulations. We study the injection of one fluid into a planar two-dimensional porous medium containing another, more viscous fluid. We find that the dynamics are distinguished by three regimes: an early-time linearly unstable regime, an intermediate-time nonlinear regime and a late-time single-finger exchange-flow regime. In the first regime, the flow can be linearly unstable to perturbations that grow exponentially. We identify, using linear stability theory and numerical simulations, a critical Péclet number below which the flow remains stable for all times. In the second regime, the flow is dominated by the nonlinear coalescence of fingers which form a mixing zone in which we observe that the convective mixing rate, characterized by a convective Nusselt number, exhibits power-law growth. In this second regime we derive a model for the transversely averaged concentration which shows good agreement with our numerical experiments and extends previous empirical models. Finally, we identify a new final exchange-flow regime in which a pair of counter-propagating diffusive fingers slow exponentially. We derive an analytic solution for this single-finger state which agrees well with numerical simulations. We demonstrate that the flow always evolves to this regime, irrespective of the viscosity ratio and Péclet number, in contrast to previous suggestions

    Horizontal miscible displacements through porous media: the interplay between viscous fingering and gravity segregation

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    We consider miscible displacements in two-dimensional homogeneous porous media where the displacing fluid is less viscous and has a different density than the displaced fluid. We find that the dynamics evolve through nine possible regimes depending on the viscosity ratio, strength of density variations and the strength of the background flow, as characterized by the Péclet number. At early times the interface is dominated by longitudinal diffusion before undergoing a transition to a slumping regime where vertical flow is important. At intermediate times, vertical flow and diffusion can be neglected and there are three different limiting solutions: a fingering limit; an injection-driven gravity-current limit; and a density-driven gravity-current limit. Finally at late times, transverse diffusion becomes important and there is a transition from an apparent shutdown regime to a viscously enhanced Taylor-slumping regime. In each of the regimes, the dominant scalings are identified and reduced-order models for the evolution of the concentration field are developed. Lastly, three case studies are considered to illustrate the dominant physical balances in the geophysically relevant setting of geological CO2 storage

    Use of the Instantaneous Wave-free Ratio or Fractional Flow Reserve in PCI

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    BACKGROUND: Coronary revascularization guided by fractional flow reserve (FFR) is associated with better patient outcomes after the procedure than revascularization guided by angiography alone. It is unknown whether the instantaneous wave-free ratio (iFR), an alternative measure that does not require the administration of adenosine, will offer benefits similar to those of FFR. METHODS: We randomly assigned 2492 patients with coronary artery disease, in a 1:1 ratio, to undergo either iFR-guided or FFR-guided coronary revascularization. The primary end point was the 1-year risk of major adverse cardiac events, which were a composite of death from any cause, nonfatal myocardial infarction, or unplanned revascularization. The trial was designed to show the noninferiority of iFR to FFR, with a margin of 3.4 percentage points for the difference in risk. RESULTS: At 1 year, the primary end point had occurred in 78 of 1148 patients (6.8%) in the iFR group and in 83 of 1182 patients (7.0%) in the FFR group (difference in risk, -0.2 percentage points; 95% confidence interval [CI], -2.3 to 1.8; P<0.001 for noninferiority; hazard ratio, 0.95; 95% CI, 0.68 to 1.33; P=0.78). The risk of each component of the primary end point and of death from cardiovascular or noncardiovascular causes did not differ significantly between the groups. The number of patients who had adverse procedural symptoms and clinical signs was significantly lower in the iFR group than in the FFR group (39 patients [3.1%] vs. 385 patients [30.8%], P<0.001), and the median procedural time was significantly shorter (40.5 minutes vs. 45.0 minutes, P=0.001). CONCLUSIONS: Coronary revascularization guided by iFR was noninferior to revascularization guided by FFR with respect to the risk of major adverse cardiac events at 1 year. The rate of adverse procedural signs and symptoms was lower and the procedural time was shorter with iFR than with FFR. (Funded by Philips Volcano; DEFINE-FLAIR ClinicalTrials.gov number, NCT02053038 .)info:eu-repo/semantics/publishedVersio

    Flow-induced compaction of a deformable porous medium.

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    Fluid flowing through a deformable porous medium imparts viscous drag on the solid matrix, causing it to deform. This effect is investigated theoretically and experimentally in a one-dimensional configuration. The experiments consist of the downwards flow of water through a saturated pack of small, soft, hydrogel spheres, driven by a pressure head that can be increased or decreased. As the pressure head is increased, the effective permeability of the medium decreases and, in contrast to flow through a rigid medium, the flux of water is found to increase towards a finite upper bound such that it becomes insensitive to changes in the pressure head. Measurements of the internal deformation, extracted by particle tracking, show that the medium compacts differentially, with the porosity being lower at the base than at the upper free surface. A general theoretical model is derived, and the predictions of the model give good agreement with experimental measurements from a series of experiments in which the applied pressure head is sequentially increased. However, contrary to theory, all the experimental results display a distinct and repeatable hysteresis: the flux through the material for a particular applied pressure drop is appreciably lower when the pressure has been decreased to that value compared to when it has been increased to the same value.D.R.H. was supported by a Killam Postdoctoral Fellowship and a Research Fellowship at Gonville and Caius College, Cambridge. During the experimental part of this project, J.S.N. was supported by the division of Engineering Science, University of Toronto. J.A.N. is partly supported by a Royal Society University Research Fellowship.This is the author accepted manuscript. The final version is available from the American Physical Society via http://dx.doi.org/10.1103/PhysRevE.93.02311

    Collateral donor artery physiology and the influence of a chronic total occlusion on fractional flow reserve

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    Background— The presence of a concomitant chronic total coronary occlusion (CTO) and a large collateral contribution might alter the fractional flow reserve (FFR) of an interrogated vessel, rendering the FFR unreliable at predicting ischemia should the CTO vessel be revascularized and potentially affecting the decision on optimal revascularization strategy. We tested the hypothesis that donor vessel FFR would significantly change after percutaneous coronary intervention of a concomitant CTO. Methods and Results— In consecutive patients undergoing percutaneous coronary intervention of a CTO, coronary pressure and flow velocity were measured at baseline and hyperemia in proximal and distal segments of both nontarget vessels, before and after percutaneous coronary intervention. Hemodynamics including FFR, absolute coronary flow, and the coronary flow velocity–pressure gradient relation were calculated. After successful percutaneous coronary intervention in 34 of 46 patients, FFR in the predominant donor vessel increased from 0.782 to 0.810 (difference, 0.028 [0.012 to 0.044]; P=0.001). Mean decrease in baseline donor vessel absolute flow adjusted for rate pressure product: 177.5 to 139.9 mL/min (difference −37.6 [−62.6 to −12.6]; P=0.005), mean decrease in hyperemic flow: 306.5 to 272.9 mL/min (difference, −33.5 [−58.7 to −8.3]; P=0.011). Change in predominant donor vessel FFR correlated with angiographic (%) diameter stenosis severity (r=0.44; P=0.009) and was strongly related to stenosis severity measured by the coronary flow velocity–pressure gradient relation (r=0.69; P&lt;0.001). Conclusions— Recanalization of a CTO results in a modest increase in the FFR of the predominant collateral donor vessel associated with a reduction in coronary flow. A larger increase in FFR is associated with greater coronary stenosis severity

    Over-expansion capacity and stent design model: an update with contemporary DES platforms

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    © 2016 The AuthorsBackground Previously, we examined the difference in stent designs across different sizes for six widely used Drug Eluting Stents (DESs). Although stent post-dilatation to larger diameter is commonly done, typically in the setting of long tapering segment or left-main PCI, there is an increasing recognition that information with regard to the different stent model designs has a critical impact on overexpansion results. This study aims to provide an update on stent model designs for contemporary DES platforms as well as test overexpansion results under with oversized post-dilatation. Methods and results We studied 6 different contemporary commercially available DES platforms: Synergy, Xience Xpedition, Ultimaster, Orsiro, Resolute Onyx and Biomatrix Alpha. We investigated for each platform the difference in stent designs across different sizes and results obtained after post-expansion with larger balloon sizes. The stents were deployed at nominal diameter and subsequently over expanded using increasingly large post dilatation balloon sizes (4.0, 5.0 and 6.0 mm at 14ATM). Light microscopy was used to measure the changes in stent geometry and lumen diameter after over-expansion. For each respective DES platform, the MLD observed after overexpansion of the largest stent size available with a 6.0 mm balloon was 5.7 mm for Synergy, 5.6 mm for Xience, 5.2 mm for Orsiro, 5.8 mm for Ultimaster, 5.5 mm for 4 mm Onyx (5.9 mm for the 5 mm XL size) and 5.8 mm for BioMatrix Chroma. Conclusion This update presents valuable novel insights that may be helpful for careful selection of stent size for contemporary DES based on model designs. Such information is especially critical in left main bifurcation stenosis treatment where overexpansion to larger oversized diameter may be required to ensure full stent apposition
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