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At least 703 records · Page 39

In situ observations on the coupling between hydraulic diffusivity and displacements during fault reactivation in shales

Key questions in fault reactivation in shales relate to the potential for enhanced fluid transport through previously low-permeability aseismic formations. Here, we explore the behavior of a 20 m long N0-to-170°, 75-to-80°W fault in shales that is critically stressed under a strike-slip regime (σ 1 = 4 ± 2 MPa, horizontal and N162° ± 15°E, σ 2 = 3.8 ± 0.4 MPa and σ 3 = 2.1 ± 1 MPa, respectively 7-8° inclined from vertical and horizontal and N72°). The fault was reactivated by fluid pressurization in a borehole using a straddle packer system isolating a 2.4 m long injection chamber oriented-subnormal to the fault surface at a depth of 250 m. A three-dimensional displacement sensor attached across the fault allowed monitoring fault movements, injection pressure and flow rate. Pressurization induced a hydraulic diffusivity increase from ~2 × 10 -9 to ~10 3 m 2 s -1 associated with a complex three-dimensional fault movement. The shear (x-, z-) and fault-normal (y-) components (U x , U y , and U z ) = (44.0 × 10 -6 m, 10.5 × 10 -6 m, and 20.0 × 10 -6 m) are characterized by much larger shear displacements than the normal opening. Numerical analyses of the experiment show that the fault permeability evolution is controlled by the fault reactivation in shear related to Coulomb failure. The large additional fault hydraulic aperture for fluid flow is not reflected in the total normal displacement that showed a small partly contractile component. This suggests that complex dilatant effects estimated to occur in a plurimeter radius around the injection source affect the flow and slipping patch geometries during fault rupture, controlling the initial slow slip and the strong back slip of the fault following depressurization.

58 GEOSCIENCES↗

Incorporating bubble growth volume feedback to improve simulation of the response of a structure containing liquid and gas to sudden energy input

The SNS target module is a stainless-steel structure that contains and directs mercury. The mercury is struck with short, intense proton pulses to create neutrons. The pulses deposit energy and cause loads on the target structure and mercury cavitation. Helium bubbles are introduced into the mercury to reduce loads and cavitation. This gas complicates the prediction of the target module’s physical response. The current method used to simulate the structural response to the proton pulse incorporates a simple but effective approach to approximate mercury cavitation effects. This method cannot account for the changes from injected non-condensable gas. The ability to model the target vessel response is a prerequisite for estimating its life. Known approaches for simulating a bubbly fluid mixture’s response are computationally expensive and impractical for detailed engineering models. A constitutive model is proposed for target mercury with injected gas bubbles, with the intent of providing more accurate mercury–vessel response behavior without the computing costs required to track individual bubbles. The model’s assumptions and a computational model embodiment are described. The bubbly mercury computational model is subjected to test problems to assess its potential utility. Here, the model was able to better predict the effect of gas on wave propagation.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Dynamic modeling of injection-induced fault reactivation and ground motion and impact on surface structures and human perception

We summarize recent modeling studies of injection-induced fault reactivation, seismicity, and its potential impact on surface structures and nuisance to the local human population. We used coupled multiphase fluid flow and geomechanical numerical modeling, dynamic wave propagation modeling, seismology theories, and empirical vibration criteria from mining and construction industries. We first simulated injection-induced fault reactivation, including dynamic fault slip, seismic source, wave propagation, and ground vibrations. From co-seismic average shear displacement and rupture area, we determined the moment magnitude to about M w = 3 for an injection-induced fault reactivation at a depth of about 1000 m. We then analyzed the ground vibration results in terms of peak ground acceleration (PGA), peak ground velocity (PGV), and frequency content, with comparison to the U.S. Bureau of Mines’ vibration criteria for cosmetic damage to buildings, as well as human-perception vibration limits. For the considered synthetic M w = 3 event, our analysis showed that the short duration, high frequency ground motion may not cause any significant damage to surface structures, and would not cause, in this particular case, upward CO 2 leakage, but would certainly be felt by the local population.

58 GEOSCIENCES↗

Carbon dioxide-enhanced metal release from kerogen

Heavy metals released from kerogen to produced water during oil/gas extraction have caused major environmental concerns. To curtail water usage and production in an operation and to use the same process for carbon sequestration, supercritical CO 2 (scCO 2 ) has been suggested as a fracking fluid or an oil/gas recovery agent. It has been shown previously that injection of scCO 2 into a reservoir may cause several chemical and physical changes to the reservoir properties including pore surface wettability, gas sorption capacity, and transport properties. Using molecular dynamics simulations, we here demonstrate that injection of scCO 2 might lead to desorption of physically adsorbed metals from kerogen structures. This process on one hand may impact the quality of produced water. On the other hand, it may enhance metal recovery if this process is used for in-situ extraction of critical metals from shale or other organic carbon-rich formations such as coal.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

Assessment of Borehole Gravity (Density) Monitoring for CO 2 Injection into the Dover 33 Reef

The Midwest Regional Carbon Sequestration Partnership (MRCSP) was founded in 2003 as part of the U.S. Department of Energy’s (DOE’s) Regional Carbon Sequestration Partnership initiative. Since its founding, MRCSP has made significant strides toward making CCUS a viable option for states in the region. The public/private consortium, funded through the DOE Regional Carbon Sequestration Initiative, brings together nearly 40 industry partners and 10 states. Battelle, as the project lead, oversees research, development and operations and coordinates activities among the partners. The incremental, phased approach has built a valuable knowledge base for the industry and paved the way for commercial-scale adoption of CCUS technologies. From 2008 to 2020, MRCSP Phase III focused on the development of large-scale injection projects. This report is part of a series of reports prepared under the Midwestern Regional Carbon Sequestration Partnership (MRCSP) Phase III (Development Phase). These reports summarize and detail the findings of the work conducted under the Phase III project. This report presents the results of BHG surveys conducted in the Lawnichak-Myskier 1-33 well in the Dover 33 reef by Tellus Gravity and Micro-g LaCoste in 2013, 2016, and 2018. A comparison of the data from the three surveys was performed to determine the feasibility of BHG to detect and monitor the location of the injected CO 2 in the reef over time. In addition, modeling was performed to compare the field data with the modeled data. Applying time-lapse BHG monitoring to a carbon sequestration site consists of determining temporal gravity anomalies related to the injection of CO 2 , and exclusively associated to the redistribution of the fluids in the pore space.

01 COAL, LIGNITE, AND PEAT↗

Large Eddy Simulation of a Supercritical Fuel Jet in Cross Flow using GPU-Acceleration

Fuel is routinely injected into combustion chambers at elevated pressures resulting in formation of supercritical fluid flow. The dispersion of fuel and the combustion processes are significantly different in high pressure conditions as the raditional liquid atomization and evaporation are replaced by diffusion-dominated mixing. Modeling supercritical flow is challenging due to the complex thermodynamics and transport properties of the fluids and in most cases high fidelity numerical simulations are prohibitively expensive. However, numerical investigations must incorporate the flow properties appropriate for the regime for accurate description of the physical processes involved. In this paper, we consider real-fluid properties and simulate the turbulent mixing of fuel jet in cross flow at high ambient pressure. In order to make efficient use of the computer resources and reduce the time to solution, without compromising the resolution requirements, the real-fluid property routines are accelerated via Graphics Processing Unit (GPU) computation. The numerical simulations performed at different resolutions suggest that the high fidelity computations with refined mesh are essential to capture the non-linear dynamics of vortex evolution downstream of the fuel jet and signifies the necessity for an accelerated code. The code is accelerated using the Kokkos C++ library and is demonstrated to be about 2 times faster than the non-accelerated version. Considerable computational cost associated with the thermodynamics routines is reduced in the accelerated version. The results also suggest the resource requirements to compute turbulent closures and the need for acceleration of the routines associated with the sub-grid scale closures.

Gottiparthi, Kalyana C.↗

Reductant injection and mixing system

A gaseous reductant injection and mixing system is described herein. The system includes an injector for injecting a gaseous reductant into an exhaust gas stream, and a mixer attached to a surface of the injector. The injector includes a plurality of apertures through which the gaseous reductant is injected into an exhaust gas stream. The mixer includes a plurality of fluid deflecting elements.

02 PETROLEUM↗

A MPET 2 -mPBPK model for subcutaneous injection of biotherapeutics with different molecular weights: From local scale to whole-body scale

Subcutaneous injection of biotherapeutics has attracted considerable attention in the pharmaceutical industry. However, there is limited understanding of the mechanisms underlying the absorption of drugs with different molecular weights and the delivery of drugs from the injection site to the targeted tissue. Here, we propose the MPET 2 -mPBPK model to address this issue. This multiscale model couples the MPET 2 model, which describes subcutaneous injection at the local tissue scale from a biomechanical view, with a post-injection absorption model at injection site and a minimal physiologically-based pharmacokinetic (mPBPK) model at whole-body scale. Utilizing the principles of tissue biomechanics and fluid dynamics, the local MPET 2 model provides solutions that account for tissue deformation and drug absorption in local blood vessels and initial lymphatic vessels during injection. Additionally, we introduce a model accounting for the molecular weight effect on the absorption by blood vessels, and a nonlinear model accounting for the absorption in lymphatic vessels. The post-injection model predicts drug absorption in local blood vessels and initial lymphatic vessels, which are integrated into the whole-body mPBPK model to describe the pharmacokinetic behaviors of the absorbed drug in the circulatory and lymphatic system. We establish a numerical model which links the biomechanical process of subcutaneous injection at local tissue scale and the pharmacokinetic behaviors of injected biotherapeutics at whole-body scale. With the help of the model, we propose an explicit relationship between the reflection coefficient and the molecular weight and predict the bioavalibility of biotherapeutics with varying molecular weights via subcutaneous injection. The considered drug absorption mechanisms enable us to study the differences in local drug absorption and whole-body drug distribution with varying molecular weights. This model enhances the understanding of drug absorption mechanisms and transport routes in the circulatory system for drugs of different molecular weights, and holds the potential to facilitate the application of computational modeling to drug formulation.

59 BASIC BIOLOGICAL SCIENCES↗

Computational modeling of the effect of external electron injection into a direct-current microdischarge

Electron emission from the electrode surface plays an important role in determining the structure of a direct-current microdischarge. Here we have developed a computational model of a direct-current microdischarge to study the effect of external electron injection from the cathode surface into the discharge to manipulate its properties. The model provides a self-consistent, multi-species, multi-temperature fluid representation of the plasma. A microdischarge with a metal-insulator-metal configuration is chosen for this study. The effect of external electron injection on the structure and properties of the microdischarge is described. The transient behavior of the microdischarge during the electron injection is examined. The nonlinearities in the dynamics of the plasma result in a large increase of conduction current after active electron injection. For the conditions simulated a switching time of ∼100 ns from a low-current to high-current discharge state is realized.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Geochemical Changes in Response to CO 2 Injection in a CO 2 -EOR Complex in Northern Michigan

The overall purpose of the geochemical monitoring program under Midwestern Regional Carbon Sequestration Partnership (MRCSP) is to use stable and radiogenic isotope geochemistry in concert with analysis of general geochemical parameters of fluids and gases and analysis of core samples to determine geochemical processes occurring in the reef structure because of CO 2 injection..

54 ENVIRONMENTAL SCIENCES↗

Liquid microjunction surface sampling probe fluid dynamics: Characterization and application of an analyte plug formation operational mode

The recently discovered sample plug formation and injection operational mode of a continuous flow, coaxial tube geometry, liquid microjunction surface sampling probe (LMJ-SSP) (J. Am. Soc. Mass Spectrom, 2011) was further characterized and applied for concentration and mixing of analyte extracted from multiple areas on a surface and for nanoliter-scale chemical reactions of sampled material. A transparent LMJ-SSP was constructed and colored analytes were used so that the surface sampling process, plug formation, and the chemical reactions could be visually monitored at the sampling end of the probe before being analyzed by mass spectrometry of the injected sample plug. Injection plug peak widths were consistent for plug hold times as long as the 8 minute maximum attempted (RSD below 1.5%). Furthermore, integrated injection peak signals were not significantly different for the range of hold times investigated. The ability to extract and completely mix individual samples within a fixed volume at the sampling end of the probe was demonstrated and a linear mass spectral response to the number of equivalent analyte spots sampled was observed. Lastly, using the color and mass changing chemical reduction of the redox dye 2,6-dichlorophenol-indophenol with ascorbic acid, the ability to sample, concentrate, and efficiently run reactions within the same plug volume within the probe was demonstrated.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

High Speed Si Etching with ClF{sub 3} Cluster Injection

The reactive gas cluster injection process is an etching method that uses a neutral cluster beam without plasma. ClF{sub 3}-Ar neutral cluster was generated and the Si etching characteristics with this beam were investigated. ClF{sub 3} is very high reactive gas. Adiabatic expansion of a high-pressure gas through a conical nozzle is utilized for the formation of cluster beams. The source gas was a mixture of ClF{sub 3}(6%) with Ar (94%). The etching rate increased with source gas pressure nonlinearly, and the etching rate achieved more than 30 {mu}m/min at 0.85 MPa. Although the irradiation energy was very low (<1 eV/atom or molecule), the chemical etching was enhanced with cluster impacts and the cluster bombarded area on the surface was etched selectively. These results indicated that high speed anisotropic etching with low damage can be realized with the ClF{sub 3} cluster injection process.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗

Hydromechanical reactivation of natural discontinuities: mesoscale experimental observations and DEM modeling

Fracture interaction mechanisms and reactivation of natural discontinuities under fluid pressurization conditions can represent critical issues in risk assessment of caprock integrity. A field injection test, carried out in a damage fault zone at the decameter scale, i.e., mesoscale, has been studied using a distinct element model. Given the complex structural nature of the damage fault zone hydraulically loaded, the contribution of fracture sets on the bulk permeability has been investigated. It has been shown that their orientation for a given in situ stress field plays a major role. Based on these results, a simpler model with a fluid-driven fracture intersecting a second fracture has been set up to perform a sensitivity analysis. It is in presence of a minimum differential stress value with a minimum angle with the maximum principal stress that the second fracture could be both, hydraulically and mechanically reactivated. Results also showed that in the vicinity of the fluid-driven fracture, a natural fracture will offer contrasted hydromechanical responses on each side of the intersection depending on the stress conditions and its orientation with respect to the stress field. In this case, we show that a hydromechanical decoupling can occur along the same plane. These results provide insights into fracture-controlled permeability of fault zones depending on the properties of the fractures and their hydromechanical interactions for a given in situ stress field.

58 GEOSCIENCES↗

17β-trenbolone, an anabolic–androgenic steroid as well as an environmental hormone, contributes to neurodegeneration

Both genetic and environmental factors contribute to neurodegenerative disorders. In a large number of neurodegenerative diseases (for example, Alzheimer's disease (AD)), patients do not carry the mutant genes. Other risk factors, for example the environmental factors, should be evaluated. 17β-trenbolone is a kind of environmental hormone as well as an anabolic–androgenic steroid. 17β-trenbolone is used as a growth promoter for livestock in the USA. Also, a large portion of recreational exercisers inject 17β-trenbolone in large doses and for very long time to increase muscle and strength. 17β-trenbolone is stable in the environment after being excreted. In the present study, 17β-trenbolone was administered to adult and pregnant rats and the primary hippocampal neurons. 17β-trenbolone's distribution and its effects on serum hormone levels and Aβ42 accumulation in vivo and its effects on AD related parameters in vitro were assessed. 17β-trenbolone accumulated in adult rat brain, especially in the hippocampus, and in the fetus brain. It altered Aβ42 accumulation. 17β-trenbolone induced apoptosis of primary hippocampal neurons in vitro and resisted neuroprotective function of testosterone. Presenilin-1 protein expression was down-regulated while β-amyloid peptide 42 (Aβ42) production and caspase-3 activities were increased. Both androgen and estrogen receptors mediated the processes. 17β-trenbolone played critical roles in neurodegeneration. Exercisers who inject large doses of trenbolone and common people who are exposed to 17β-trenbolone by various ways are all influenced chronically and continually. Identification of such environmental risk factors will help us take early prevention measure to slow down the onset of neurodegenerative disorders. - Highlights: • The widely used anabolic–androgenic steroid 17β-trenbolone has neurotoxicity. • 17β-trenbolone crosses the blood brain barrier and placental barrier. • Rat has high level of 17β-trenbolone in hippocampus after intramuscular injection. • 17β-trenbolone induces apoptosis of primary hippocampal neurons. • 17β-trenbolone affects Alzheimer's disease-related proteins Aβ42 and presenilin-1.

60 APPLIED LIFE SCIENCES↗

The Impact of Naphthenic Acids on Dynamic Fluid–Fluid Interactions: Implication for Enhanced Oil Recovery

Previous coreflooding results and wettability analyses in our group show that injection of naphthenic-acid-enriched water can improve oil recovery over traditional waterflooding. This observation is still a subject of research efforts without a definitive explanation. Naphthenic acids (NA) have been reported to drive wettability alteration and increase the water–oil interface elasticity. These alterations depend on the NA carbon number and aqueous-phase salinity, among other conditions, as reported in the literature. Smart-water flooding (SWF) research often links recovery to the initial wettability condition, being higher for initially oil-wet rock. SWF refers to a technique in which the aqueous-phase ion composition or/and salinity are changed to maximize oil recovery. Given NAs’ complex solution behavior, selecting acid combinations that prompt oil recovery is a difficult objective. The aim of this research is to determine the effects of select naphthenic acids on the oil–water interfacial rheology and wettability alteration and how these interfacial effects are associated with oil recovery under spontaneous imbibition. NAs were selected based on their carbon number, molecular structure, and solubility in the saline solution used in this research. We aimed at exploring which NAs should be used to regulate interfacial properties so as to either increase oil recovery or accelerate production. Time-domain nuclear magnetic resonance, interfacial dilatational rheology, and liquid-bridge experiments, i.e., proxy of snap-off, were conducted. A baseline was established using results obtained with a previously tested sulfate-rich aqueous phase, shown to be effective in recovering oil. Results show that NA14 and N18 increase the water–oil interfacial viscoelasticity and induce interfacial healing but led to different recovery factors. N10, while effective at inducing water wetness in oil-wet rock, is ineffective at increasing the recovery factor. We concluded that wettability and oil–water interfacial rheology are not exclusive, and instead they can synergistically favor EOR benefits. Moreover, oil recovery benefits under spontaneous imbibition are shown to depend strongly on the initial wettability conditions.

Medina-Rodriguez, Bryan X. (ORCID:0000000262922831↗

Assessment of CO 2 Storage Resources in Depleted Oil and Gas Fields in the Ship Shoal Area, Gulf of Mexico

The Gulf of Mexico is one of the most important regions in the United States for energy resources and infrastructure. Gulf of Mexico federal offshore oil and gas production accounts for 17% of total U.S. crude oil production and 5% of total U.S. gas production (EIA Gulf of Mexico Fact Sheet). This region presents an excellent combination of high need and significant opportunity for large scale geologic storage of CO 2 . The Ship Shoal Area is located about 20 miles offshore Louisiana within the Gulf Coast federal waters. Miocene and Pliocene sediments in the Ship Shoal Area are proven to provide excellent and secure traps for oil and gas. The Ship Shoal Area contains a large number of depleted oil and gas fields either currently abandoned, or planned for abandonment by 2025, which may provide very significant potential CO 2 storage capacity. GeoMechanics Technologies conducted a comprehensive research project to better characterize Neogene sediments in the Ship Shoal Area for high volume CO 2 storage. The data generated from literature, well data, well log, and formation evaluation were input into Rockwork 16 geologic software to create a detailed geologic model for the Ship Shoal study area. The geologic grids were then fed into TOUGH2, the gas migration model software and FLAC 3D, the geomechanical model software. The fluid flow modeling for both the Miocene and Pliocene simulation from both Block 107 and Block 84 indicated that Pliocene and Miocene are a good reservoir for the CO 2 sequestration. Thirty years of CO 2 injection (at a rate of 1 million metric tons CO 2 per year) and 30 years of observation simulations were run with the fluid flow modeling. The 3D geomechanical modeling for Ship Shoal Block 107 and Block 84 were developed to evaluate induced surface deformation and potential fault reactivation after 30 years CO 2 injection at base of Pliocene and at upper Miocene injection locations. Evaluation results indicate low to no risks for fault slips or fault reactivation. Twelve well bores and 76 well bores for Ship Shoal Blocks 84 and 107 respectively were reviewed for their cement history. Most wells (57 out of 76 and 7 out of 12 wells in Ship Shoal Block 107 and 84 respectively) have good integrity. Nineteen and 5 wells (in Ship Shoal Block 107 and 84 respectively) with no top plug, incomplete cement or Plug and Abandonment information are given yellow cautionary indicators. These cautionary wells may provide leakage paths of CO 2 through the well bores to the USDWs. Using our Quantitative Risk & Decision Analysis Tool (QRDAT) for caprock integrity evaluation, we compared Ship Shoal’s risk to that of In Salah, Sleipner, Kevin Dome, Loudon, Illinois Industrial CCS and Wilmington Graben. We found the risk at the Ship Shoal Blocks 84 and 107 fields are similar to the known CO 2 active sequestration sites, but lower than the Wilmington Graben turbidities offshore California studied site. The risk of natural seismicity in the Gulf of Mexico is relatively low. Geomechanics Technologies has documented the top 25 CO 2 emission sources within the close proximity of the Ship Shoal Block 84 and 107 fields. All the offshore and onshore pipelines have been digitized and can be viewed in an interactive website (http://www.geomechanicstech.com/shipshoal.html). We also performed a feasibility study on the potential for converting existing oil or gas pipelines for CO 2 transport. There are abandoned, idled and retired onshore and offshore pipelines. However, there is no standard specification for maximum pipeline pressures needed for CO 2 transport. It is a function of design, materials, and testing provided; thus it will be the responsibility of the pipeline operator to correctly determine, maintain and operate within the limits of the pipelines. There are a few transit corridors extending from onshore Louisiana (Cailou Bay) to offshore trunk-lines. The cost for constructing a pipeline has increased about 46% from 2015 to an average cost of $5,064,046 per mile in 2016. We use the NETL CO 2 storage resource mass estimate to calculate the potential resources for Ship Shoal Block 84 and 107 fields using the depleted oil and gas reservoir volume and sand volume generated from our geologic modeling. The estimated storage resource results are greater when using the sand volumes derived through geologic modeling than the oil and gas reservoir data. The difference is due to the depleted oil and gas reservoir information not accounting for the water-flooded sand located below the oil/gas-water contact or unproductive sand units. Resource calculation using the sand volume obtained through geologic modeling overestimate the storage capacity as the model accounts for all sand within the formation, not just the interconnected sand.

02 PETROLEUM↗

In-cylinder spray evolution in a motored central-injection gasoline engine: Imaging and simulating the effects of flash-boiling and intake crossflow

Accurate predictions of fuel spray behavior and mixture formation in simulations of direct-injection spark-ignition (DISI) engines are fundamental to ensure proper description of all subsequent processes including ignition, combustion, and emissions. In this work, the spray evolution in a single-cylinder optical DISI engine was studied experimentally and numerically with the goal of enabling predictive computational fluid dynamics (CFD) modeling of in-cylinder sprays. The authors explored a wide range of operating conditions characterized by several fuel injection temperatures and engine speeds, using a well-characterized nine-component gasoline surrogate known as PACE-20. The effect of flash boiling and intake crossflow on the spray is discussed, with a focus on evaluating the ability of the spray models to capture highly transient spray behavior. In the experiments, the fuel temperature was varied between 20°C and 80°C, allowing for non-flash- to flash-boiling transition to emerge with enhanced flashing intensity at the highest temperatures. Spray collapse resulted in vapor-rich regions, owing to the locally lower inertia of the fluid. Varying the engine speed from 650 to 1950 rpm promoted increasingly more turbulent in-cylinder crossflow which interacted with the spray during the injection event and resulted in enhanced spray dispersion. The CFD model was able to capture the spray morphology transition at different fuel temperatures and engine speeds adequately. Further, it is shown that the spray breakup model could capture the transitional spray behavior induced by flash boiling atomization and intake flow via proper initialization of the spray cone angle and calibration of the spray models’ constants.

33 ADVANCED PROPULSION SYSTEMS↗

Successful Thrombolysis and Spasmolysis of Acute Leg Ischemia after Accidental Intra-arterial Injection of Dissolved Flunitrazepam Tablets

A 37-year-old man with known intravenous drug abuse presented in the surgical ambulatory care unit with acute leg ischemia after accidental intra-arterial injection of dissolved flunitrazepam tablets into the right femoral artery. A combination of anticoagulation, vasodilatation, and local selective and superselective thrombolysis with urokinase was performed to salvage the leg. As a result of the severe ischemia-induced pain, the patient had to be monitored over the complete therapy period on the intensive care unit with permanent administration of intravenous fluid and analgetics. We describe the presenting symptoms and the interventional technique, and we discuss the recent literature regarding the management of accidental intra-arterial injection of dissolved flunitrazepam tablets.

62 RADIOLOGY AND NUCLEAR MEDICINE↗