Search Results (168)

Background/Objective: Bridging stent optimal choice in fenestrated and branched endovascular aortic repair (f/bEVAR) is under investigation. This systematic review and meta-analysis studied the outcomes of the BeGraft peripheral and peripheral PLUS as bridging stents in f/bEVAR. Methods: The methodology was pre-registered to the PROSPERO (CRD420251007695). Following the PRISMA guidelines and PICO model, the PubMed, Cochrane and Embase databases were searched for observational studies and randomized control trials, in English, from 2015 to 2025, reporting on f/bEVAR patients using the second-generation BeGraft peripheral or the BeGraft peripheral PLUS balloon expandable covered stent (BECS; Bentley InnoMed, Hechingen, Germany) for bridging. The ROBINS-I assessed the risk of bias and GRADE the quality of evidence. Target vessel technical success, occlusion/stenosis, endoleak Ic/IIIc, reintervention and instability during follow-up were primary outcomes, assessed using proportional meta-analysis. Results: Among 1266 studies, eight were included (1986 target vessels; 1791 bridged via BeGraft); all retrospective, except one. The ROBINS-I showed that seven were at serious risk of bias. According to GRADE, the quality of evidence was “very low” for primary outcomes. Target vessel technical success was 99% (95% CI 98–100%; I² = 12%). The mean follow-up was 20.2 months. Target-vessel instability was 3% (95% CI 2–5%; I² = 44%), occlusion/stenosis was 1% (95% CI 1–4%; I² = 8%) and endoleak Ic/IIIc was 1% (95% CI 0–3%; I² = 0%). The estimated target-vessel reintervention was 2% (95% CI 2–4%; I² = 12%). Celiac trunk, superior mesenteric and renal artery instability were 1% (95% CI 0–16%; I² = 0%;), 1% (95% CI 0–5%; I² = 14%) and 4% (95% CI 2–7%; I² = 40%), respectively. Conclusions: The BeGraft peripheral and peripheral PLUS BECS performed with high technical success and low instability when used for bridging in f/bEVAR. Cautious interpretation is required due to the very low quality of evidence. Full article

The natural history of focal non-infected lesions of the abdominal aorta (fl-AA) remains unclear and largely depends on their aetiology. These lesions often involve a focal “tear” or partial disruption of the arterial wall. Penetrating aortic ulcers (PAUs) and intramural hematomas (IMHs) are examples of focal tears in the aortic wall that can either progress to dilatation (saccular aneurysm) or fail to fully propagate through the medial layers, potentially leading to aortic dissection. These conditions typically exhibit a morphology consistent with eccentric saccular aneurysms. The management of focal non-infected pathologies of the abdominal aorta remains a subject of debate. Unlike fusiform abdominal aortic aneurysms, the inconsistent definitions and limited information regarding the natural history of saccular aneurysms (sa-AAAs) have prevented the establishment of universally accepted practice guidelines for their management. As emphasized in the latest 2024 ESVS guidelines, the focal nature of these diseases makes them ideal candidates for endovascular repair (class of evidence IIa—level C). Moreover, the Society for Vascular Surgery just referred to aneurysm diameter as an indication for treatment suggesting using a smaller diameter compared to fusiform aneurysms. Consequently, the management of saccular aneurysms is likely heterogeneous amongst different centres and different operators. Endovascular repair using tube stent grafts offers benefits like reduced recovery times but carries risks of migration and endoleak due to graft rigidity. These complications can influence long-term success. In this context, the use of endovascular bifurcated grafts may provide a more effective solution for treating these focal aortic pathologies. It is essential to achieve optimal sealing regions through anatomical studies of aortic morphology. Additionally, understanding the anatomical characteristics of focal lesions in challenging necks or para-visceral locations is indeed crucial in device choice. Off-the-shelf devices are favoured for their time and cost efficiency, but new endovascular technologies like fenestrated endovascular aneurysm repair (FEVAR) and custom-made devices enhance treatment success and patient safety. These innovations provide stent grafts in various lengths and diameters, accommodating different aortic anatomies and reducing the risk of type III endoleaks. Although complicated PAUs and focal saccular aneurysms rarely arise in the para-visceral aorta, the consequences of rupture in this segment might be extremely severe. Experience borrowed from complex abdominal and thoracoabdominal aneurysm repair demonstrates that fenestrated and branched devices can be deployed safely when anatomical criteria are respected. Elective patients derive the greatest benefit from a fenestrated graft, while urgent cases can be treated confidently with off-the-shelf multibranch systems, reserving other types of repairs for emergent or bail-out cases. While early outcomes of these interventions are promising, it is crucial to acknowledge that limited aortic coverage can still impede effective symptom relief and lead to complications such as aneurysm expansion or rupture. Therefore, further long-term studies are essential to consolidate the technical results and evaluate the durability of various graft options. Full article

Advancements in endovascular stent graft design have enabled the treatment of distal aortic arch pathologies. However, the length of the proximal landing zone remains a limitation, especially with vascular anomalies like an aberrant right subclavian artery (ARSA) posing additional challenges. A 78-year-old patient underwent computed tomography angiography (CTA), which revealed progressive enlargement of a distal aortic arch aneurysm located beyond an ARSA that coursed between the esophagus and trachea. Following evaluation by the multidisciplinary Aortic Team, a hybrid procedure was planned. A right carotid-to-ARSA bypass was performed and a Castor single-branched stent graft (CSBSG) was deployed in the aortic arch with its side branch directed into the left subclavian artery (LSA), thereby covering the origin of the ARSA. To prevent a type II endoleak, plug embolization of the ARSA origin was subsequently performed. CSBSG is a feasible treatment for distal aortic arch aneurysms, even in the presence of vascular anomalies such as ARSA. Full article

Late ruptures of abdominal aortic aneurysms post-endovascular aneurysm repair present a significant risk, occurring in about 0.9% of cases. The typical timeframe leading to rupture is roughly 37 months, with the primary factors often linked to endoleaks, especially types I and III, which sustain pressure within the aneurysm sac. The approaches to managing late ruptures consist of endovascular approaches, open surgical interventions, and conservative care, each customised to the patient’s specific characteristics. When feasible endovascular repair is favoured, additional stent grafts are deployed to seal endoleaks and offer lower perioperative mortality rates compared to those for open surgery. Open repair is considered when endovascular solutions fail or are not feasible. Conservative management with active monitoring and supportive treatment can be considered for haemodynamically stable non-surgical patients. Endovascular repair methods like fenestrated/branched EVAR (F/BEVAR) and parallel grafting (PGEVAR) are effective for complicated anatomies and show high technical success with reduced morbidity compared to that with open repairs. Chimney techniques and physician-modified endografts may help regain and broaden the sealing zone. Limb extensions with or without embolisation, interposition endografting, and whole-body relining are helpful options for type IB and type 3–5 endoleaks. Open surgical repair carries a higher perioperative mortality but may be essential in preventing death due to rupture following failed EVAR. The choice depends on the patient’s clinical stability and fitness for surgery in the absence of a viable endovascular alternative. This article discusses the available options for treating late rupture after EVAR, emphasising the importance of individualised treatment plans and the need for rigorous postoperative surveillance to prevent such complications. Full article

Background: A2 fusiform aneurysms present certain management difficulties with conventional microsurgical or endovascular approaches due to the circumferential morphology, deep location within the interhemispheric fissure, and narrow surgical corridor. Methods: We present a case of a large (>10 cm) fusiform aneurysm in the right A2 segment treated with a combined method consisting of an extended superficial temporal artery to A3 bypass using a contralateral superficial temporal artery interposition graft and subsequent endovascular trapping of the aneurysm. To treat the aneurysm, endovascular trapping following revascularization was planned. During surgery, as the left A3 segment was not available, a superficial temporal artery to A3 bypass was performed. The right frontal branch (donor) was extended with the left frontal branch as a free interposition graft (end-to-end anastomosis) and then anastomosed with the right A3 segment (end-to-side anastomosis). At 6 days after surgery, after confirming the good patency of the bypass graft, endovascular aneurysm trapping was performed. Results: At 8 days after surgery, the patient was discharged without any neurologic deficits. Follow-up digital subtraction angiography at 12 months after surgery showed the good patency of the bypass graft with complete occlusion of the aneurysm. Conclusions: Our case demonstrates the feasibility and effectiveness of a combined microsurgical-endovascular approach as a management strategy for deeply located A2 fusiform aneurysm. When in situ bypass is not possible, an extended superficial temporal artery donor may be considered. Full article

In this study, we present a sponge-like lipophilic gel crosslinked with a branched crosslinker as an absorbent for VOC removal. The gel was synthesized by crosslinking the monomer 3-(trimethoxysilyl)propyl methacrylate (TMSPMA) with the branched crosslinker poly(2-propyl aspartamide) grafted methacrylate (PPA-g-MA). The grafted crosslinker, PPA-g-MA, was prepared by introducing acrylate groups as crosslinking moieties to the poly(succinimide) precursor for poly(2-propyl aspartamide) (PPA), which serves as a hydrophobic backbone. Lipophilic gels were synthesized with varying TMSPMA monomer concentrations and freeze-dried to form a porous structure. To evaluate VOC absorption, the toluene removal efficiency of the sponge-like lipophilic gel was tested in a continuous gas flow system. As a result, the optimal TMSPMA monomer content for maximizing toluene removal efficiency was determined. This result suggests that while an increase in silicon content generally enhances VOC removal efficiency, the porous structure of sponge-like lipophilic gels plays a more crucial role in absorption capacity. The collapse of the porous structure, caused by excessive silicon content making the material more rubber-like, explains why there exists an optimal monomer content for effective VOC absorption. Overall, these findings provide valuable insights for developing high-performance VOC absorbents. Full article

Objectives: To report the results of pre-emptive embolization of collateral branches of the abdominal aorta in patients undergoing standard bifurcated EVAR versus those undergoing standard EVAR without embolization. Methods: This study is a single-center, retrospective, observational cohort analysis of consecutive patients who underwent elective standard endovascular aneurysm repair (EVAR) between 1 October 2013, and 31 December 2022, with a minimum follow-up period of 2 years. The patients were divided into two groups: group A, which did not receive embolization, and group B, which underwent pre-emptive embolization of aortic collateral branches. The primary outcomes for this study include overall survival, freedom from aorta-related mortality (ARM), and freedom from reinterventions related to type 2 endoleak (T2E). In cases of multiple reinterventions, only the first one was considered for this analysis. The secondary outcome focused on assessing freedom from aneurysm sac enlargement. Results: We analyzed a total of 265 endovascular aneurysm repairs (EVARs): 183 (69.1%) were classified into group A, and 82 (30.9%) into group B. The median follow-up duration was 48 months [interquartile range (IQR), 28–65.5], which was not significantly different between the two groups [45 months (26–63) in group A vs. 52.5 months (29.5–72.5) in group B, p = 0.098]. The estimated cumulative survival rates were 87% (0.2) at 2 years (95% confidence interval [CI]: 82.6–92.9) and 67% (0.3) at 5 years (95% CI: 60.3–73.1), with no significant difference between the groups (p = 0.263). The aorta-related mortality rate was 1.1% (n = 3); all instances occurred following open conversion due to graft infection (n = 2) and in one case of secondary aortic rupture (n = 1). In total, 34 cases (12.8%) indicated a secondary intervention related to type 2 endoleak (T2E). The freedom from T2E-related reintervention rate was 99% (0.01) at 2 years (95% CI: 99.4–99.8) and 88% (0.3) at 5 years (95% CI: 81.4–92.5), with no differences between the groups (p = 0.282). Cox regression analysis revealed that age over 80 years is an independent negative predictor of survival, with a hazard ratio (HR) of 3.5 (95% confidence interval [CI]: 2.27–5.50; p < 0.001). Additionally, T2E-related reintervention was identified as a negative predictor, with an HR of 2.4 (95% CI: 1.05–5.54; p = 0.037). In this study, conversion to open repair was necessary for 14 patients (5.3%), with three conversions occurring due to rupture; however, T2E was not a determining factor in any of these conversions. At the last available follow-up computed tomography angiography (CT-A), the median aneurysm diameter was significantly lower in group B, measuring 44 mm (range 37.7–50), compared to group A, measuring 48 mm (range 39–57.5) (p < 0.001). Both groups showed a significant change from baseline measurements (p = 0.001). Conclusions: Pre-emptive embolization of the aortic collateral branches does not lead to improved aorta-related outcomes after EVAR. Full article

A stabilized biochar (BC)–nano-scale zero-valent iron (nZVI) composite (BC-nZVI@Cell-g-PAA) was prepared using cellulose-grafted polyacrylic acid (Cell-g-PAA) as the raw material through in situ polymerization and liquid-phase reduction methods for the remediation of hexavalent chromium (Cr(VI))-contaminated water. BC-nZVI@Cell-g-PAA was characterized by XRD, FT-IR, SEM, BET, TEM, and XPS. According to the batch experiments, under optimized conditions (Cr(VI) concentration of 50 mg/L, pH = 3, and dosage of 2 g/L), the BC-nZVI@Cell-g-PAA composite achieved maximum Cr(VI) removal efficiency (99.69%) within 120 min. Notably, BC, as a carrier, achieved a high dispersion of nZVI through its porous structure, effectively preventing particle agglomeration and improving reaction activity. Simultaneously, the functional groups on the surface of Cell-g-PAA provided excellent protection for nZVI, significantly suppressing its oxidative deactivation. Furthermore, the composite effectively reduced Cr(VI) to insoluble trivalent chromium(Cr(III)) species and stabilized them on its surface through immobilization. The synergistic effects of physical adsorption and chemical reduction greatly contributed to the removal efficiency of Cr(VI). Remarkably, the composite exhibited excellent reusability with a removal efficiency of 62.4% after five cycles, demonstrating its potential as a promising material for remediating Cr(VI)-contaminated water. In conclusion, the BC-nZVI@Cell-g-PAA composite not only demonstrated remarkable efficiency in Cr(VI) removal but also showcased its potential for practical applications in environmental remediation, as evidenced by its sustained performance over multiple reuse cycles. Moreover, Cr(VI), a toxic and carcinogenic substance, poses significant risks to aquatic ecosystems and human health, underscoring the importance of developing effective methods for its removal from contaminated water. Full article

Rootstocks largely determine the tree architecture of the grafted scions, significantly affects yield, suitability for mechanical harvesting, and planting pattern of apple orchards. It is thus important to reveal the mechanisms behind the rootstocks influence on the tree architecture of scions in apple trees. This study analyzed the grafting survival rate, the physiological parameters including plant growth, photosynthesis and nutrient accumulation in the apple variety ‘Harlikar’ with eight apple rootstocks. We also explored the mechanism of scion architecture formation using transcriptomics based on different scion/rootstock combinations. The results indicated that ‘Harlikar’ had the lowest grafting survival rate with rootstock ‘M26’, with less callus formed at the graft interface, foliage etiolation, and weak photosynthetic capacity. While ‘Harlikar’ had better affinities with ‘M9-T337’, ‘M9-Nic29’, ‘M9-Pajam2’, ‘B9’, ‘71-3-150’, ‘Qingzhen 2’, and ‘Malus baccata’. Among these, the highest plant height and the highest number of lateral branches were observed in ‘Harlikar’ with rootstock ‘Qingzhen 2’, they were 1.12-times and 2.0-times higher than ‘Harlikar’ with vigorous rootstock ‘M. baccata’, respectively. The highest accumulations of total nitrogen, total phosphorus, and total potassium in scions were observed in ‘Harlikar’/‘Qingzhen 2’, they were 2.22-times, 2.10-times, and 11.80-times higher than that in ‘Harlikar’/‘M. baccata’. The lowest plant height was observed in ‘Harlikar’/‘71-3-150’, only 50.47% of ‘Harlikar’/‘Qingzhen 2’ and 56.51% of ‘Harlikar’/‘M. baccata’, and the lowest internode length was observed in ‘Harlikar’/‘M9-Nic29’, only 60.76% of ‘Harlikar’/‘Qingzhen 2’ and 79.11% of ‘Harlikar’/‘M. baccata’. The transcriptome, weighted gene co-expression network and KEGG enrichment analyses revealed that, compared to ‘Harlikar’/‘M. baccata’, most differentially expressed genes screened from ‘Harlikar’/‘Qingzhen 2’, ‘Harlikar’/‘71-3-150’, and ‘Harlikar’/‘M9-Nic29’ were enriched in hormone signal transduction pathways. Specifically, auxin-repressed protein gene ARP, cytokinin synthesis related genes CKXs and CYP92A6, and brassinosteroid synthesis related gene CYP87A3 were involved in the dwarfing of ‘Harlikar’/‘71-3-150’ and ‘Harlikar’/‘M9-Nic29’. Cytokinin synthesis related gene ARR-A and abscisic acid-responsive element binding factor gene ABF were the key to increased branching in ‘Harlikar’/‘Qingzhen 2’. In addition, acid phosphatase genes ACPs, and serine/threonine-protein kinase genes PBLs were involved in the vegetative growth of scions in ‘Harlikar’/‘Qingzhen 2’ by affecting the absorption and utilization of nutrients. These results provide theoretical guidance for cultivating high-quality ‘Harlikar’ apple trees and elucidate the molecular mechanisms regulating plant height and lateral branch formation in apple. Full article

Superabsorbent hydrogels used in products like diapers, hygiene items, and medical patches depend on their swelling ratio. However, improving the swelling performance across hydrogel assemblies remains challenging. This study identifies a decline in the water absorption capacity in hydrogel assemblies with high swelling ratios, as confirmed through MRI analysis, and introduces a solution using a branched crosslinker to address this issue. The branched crosslinker was synthesized by grafting acrylate groups onto poly(aspartic acid)s. This branched poly(aspartic acid) crosslinker was incorporated into hydrogels with the same number of acrylate groups as PEGDA575, a conventional linear crosslinker, and their absorption performance and behavior were compared. The results showed that hydrogels with the branched crosslinker exhibited a swelling ratio twice as high as the PEGDA575 group, with a slower initial absorption rate, demonstrating a more gradual swelling behavior. Additionally, while the initial absorption rate was approximately 30% slower than the PEGDA575 group, the absorption rate showed a gradual decrease of less than 15% within the first 30 min, indicating sustained absorption behavior. Overall, the new strategy presented in this study of introducing a branched crosslinker into hydrogels is expected to be a useful application for existing industries by enhancing swelling ratios and promoting continuous absorption. Full article

Background: Patients with no-option chronic limb-threatening ischemia (NoCLTI), lacking suitable distal arteries for conventional revascularization, face major limb amputation. The 1-year mortality rate after major amputation is 48.3%, increasing to 70.9% in 3 years. Open deep venous arterialization (DVA) offers a promising alternative for limb salvage, achievable through open, endovascular, or hybrid approaches. We aim to provide a comprehensive, step-by-step guide to performing open DVA in NoCLTI patients, addressing preoperative and postoperative considerations as well as the technical details of the procedure. Methods: Patient selection for open DVA focuses on individuals with NoCLTI at high risk for amputation. Preoperative assessments include evaluating risk factors, determining limb threat severity using the Wound, Ischemia, and foot Infection (WIfI) score, and mapping anatomical patterns via the Global Limb Anatomic Staging System (GLASS). The procedure involves identifying the target artery using Doppler ultrasound, performing microdissection to expose the artery and vein, ligating proximal vein branches, and creating a side-to-side anastomosis. Venous valves are disrupted with a valvulotome to allow antegrade flow. A proximal bypass graft may be applied if necessary. Results: Postoperatively, patients are monitored for 2–4 days with frequent Doppler assessments. Anticoagulation therapy begins with a heparin drip, transitioning to oral agents and/or dual antiplatelet therapy. Wound care includes deferred debridement for 2–4 weeks and may involve negative-pressure therapy. Follow-up involves weekly visits for the first month, and then at 3 months, and every 6 months thereafter, with surveillance using transcutaneous oxygen measurement, the toe–brachial index, and arterial duplex ultrasound. Conclusions: Open DVA represents a viable limb salvage option for patients with NoCLTI, potentially avoiding major amputations and improving quality of life. Success depends on careful patient selection, a meticulous surgical technique, and comprehensive postoperative care. Full article

Background: Phage tail-like bacteriocins, or tailocins, provide a competitive advantage to producer cells by killing closely related bacteria. Morphologically similar to headless phages, their narrow target specificity is determined by receptor-binding proteins (RBPs). While RBP engineering has been used to alter the target range of a selected R2 tailocin from Pseudomonas aeruginosa, the process is labor-intensive, limiting broader application. Methods: We introduce a VersaTile-driven R2 tailocin engineering and screening platform to scale up RBP grafting. Results: This platform achieved three key milestones: (I) engineering R2 tailocins specific to Escherichia coli serogroups O26, O103, O104, O111, O145, O146, and O157; (II) reprogramming R2 tailocins to target, for the first time, the capsule and a new species, specifically the capsular serotype K1 of E. coli and K11 and K63 of Klebsiella pneumoniae; (III) creating the first bivalent tailocin with a branched RBP and cross-species activity, effective against both E. coli K1 and K. pneumoniae K11. Over 90% of engineered tailocins were effective, with clear pathways for further optimization identified. Conclusions: This work lays the groundwork for a scalable platform for the development of engineered tailocins, marking an important step towards making R2 tailocins a practical therapeutic tool for targeted bacterial infections. Full article

Membrane technology is a promising methodology for carbon dioxide separation due to its benefit of a small carbon footprint. However, the trade-off relationship between gas permeability and selectivity is one obstacle to limiting its application. Herein, branched polyethyleneimine (BPEI) containing a rich amino group was successfully grafted on the surface of the metal–organic framework (MOF) of AIFFIVE-1-Ni (KAUST-8) through coordination between N in BPEI and open metal sites in the MOF and with the resultant maintained BET surface area and pore volume. Both the strengthened CO₂ solubility coefficients coming from the additional CO₂ adsorption sites of amino groups in BPEI and the reinforced CO₂ diffusivity coefficients originating from the fast transport channels created by KAUST-8 led to the promising CO₂ separation performance for KAUST-8@BPEI/Pebax-1074 MMM. With 5 wt.% KAUST-8@BPEI loading, the MMM showed the CO₂ permeability of 156.5 Barrer and CO₂/N₂ selectivity of 16.1, while the KAUST-8-incorporated MMM (5 wt.% loading) only exhibited the CO₂ permeability of 86.9 Barrer and CO₂/N₂ selectivity of 13.0. Such enhancement is superior to most of the reported Pebax-1074-based MMMs for CO₂ separation indicating a wide application for the coordination method for MOF fillers with open metal sites. Full article

Colchicine and ⁶⁰Co-γ radiation are commonly used breeding techniques for kiwifruit, offering advantages such as low cost, rapid execution, and high efficiency. The buds of red-fleshed kiwifruit (Actinidia chinensis) cv. ‘Donghong’ were used as experimental material and subjected to different concentrations of colchicine and different doses of ⁶⁰Co-γ radiation, respectively. Then, the buds were grafted on rootstock, and the ploidy, leaf size, and fruit quality of mutant fruit were evaluated, and principal component analysis (PCA) and simple sequence repeat markers were used to comprehensively assess and detect genetic variations, respectively. The results indicated that a total of 19 buds successfully germinated, with 13 branches successfully bearing fruit. Significant changes were observed in both leaf and fruit morphology following the mutation treatments. Most of the mutant materials showed significant increases in fruit weight, flesh firmness, and soluble sugar content, while titratable acidity and ascorbic acid content significantly decreased. Notably, the 25Gy ⁶⁰Co-γ radiation (25d) treatment demonstrated outstanding results, with fruit weight increasing by 256.10%, soluble sugar content rising by 88.29%, titratable acidity decreasing by 29.86%, and ascorbic acid content increasing by 35.60%. PCA results showed that the 25d mutant had the best comprehensive traits. And, except for the 0.4c mutant, all other mutant materials exhibited significant genetic changes at the DNA level. Full article

This study introduces a novel water-insoluble dispersant for coal water slurry (CWS), namely, a poly(sodium styrene sulfonate)-grafted SiO₂ nanoparticle (SiO₂-g-PSSNa). SiO₂-g-PSSNa was synthesized by combining the surface acylation reaction with surface-initiated atom transfer radical polymerization (SI-ATRP). Fourier transform infrared spectrometry (FTIR), X-ray photoelectron spectroscopy (XPS), energy dispersive spectrometer (EDS), nuclear magnetic resonance spectroscopy (NMR) and thermogravimetric analysis (TGA) verified that SiO₂-g-PSSNa with the desired structure was successfully obtained. Afterwards, the performance of SiO₂-g-PSSNa as a dispersant in CWS preparation was evaluated. The results indicated that the optimal dosage of SiO₂-g-PSSNa was 0.3%. Compared to the famous commercial products, PSSNa and lignosulfonate (LS), SiO₂-g-PSSNa exhibits improved viscosity reduction performance. When SiO₂-g-PSSNa was used as the dispersant, the maximum coal loading of CWS was 64.2%, which was higher than LS (63.4%) and PSSNa (63.9%). All CWSs obtained in this study were pseudoplastic fluids and more consistent with the Herschel–Bulkley rheological model. The turbiscan stability index (TSI) of CWS prepared with SiO₂-g-PSSNa was 0.05, which was significantly lower than CWSs obtained from PSSNa (0.30) and LS (0.36). Therefore, SiO₂-g-PSSNa also exhibits excellent stability performance. This result was confirmed by rod penetration tests. The underlying mechanism was also clarified by various measurements, such as contact angle, zeta potential, EDS and low-field nuclear magnetic resonance spectra (low-field NMR). The results reveal that SiO₂-g-PSSNa can adsorbed onto the coal surface. SiO₂-g-PSSNa possesses a special branched structure, which bears a higher charge density as compared to linear ones with approximate chemical composition. As a result, coal particles adsorbed with SiO₂-g-PSSNa exhibit more electronegativity. With the enhancement of the electrostatic repulsive between coal particles, the apparent viscosity was lowered and the static stability was improved. This study demonstrated that solubility in water is not an essential factor in engineering the dispersant. Densely charged groups are probably more important. Full article