Intermolecular activation of carbon-hydrogen bonds has been accomplished by reduction with sodium amalgam of (sip3)(Me3P)RuCl2, 1, [“sip3” = MeSi(CH2PMe)2)3] in aromatic hydrocarbons, such as benzene and substituted derivatives thereof. In these reactions, the 16e equivalent (sip3XMe3P)Ru(O) thus generated exhibits a preference for insertion across the unhindered metaand para-C-H bonds to produce complexes of composition (sip3)(Me3P)RuH(C6H3RR′) [R = R′ = H, 2; R = H, R′ = CH3, 3; R = R′ = CH3 (3,4-xylyl), 4; R = R′ = CH3 (3,5-xylyl), 5; R = H, R′ = CF3, 6], of which 3, 4, and 6 were isolated as mixtures of meta/para-isomers and Ru-aryl rotamers, respectively. Reaction of the phenyl hydride 2 with 4-MeC6H4NCE (E = O, S) leads to insertion of the heteroallenes into the Ru-Η bond to give (sip3)(Me3P)Ru[N(C6H4Me-4)C(O)H]C6H5, 8, and (sip3)(Me3P)Ru[SC(=NC6H4Me-4)H]C6H5, 10, as the primary products. While the latter forms (sip3), 11, by loss of PMe3, the former reacts with another molecule of isocyanate to afford the acyl compound (sip3)9, as the ultimate product. Treatment of 2 with CO2 results in the formation of a carbonato derivative, (sip3)(Me3P)Ru(O2CO), 7.•

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The aim was to analyze small abdominal aortic aneurysm (AAA) morphology during surveillance with regard to standard endovascular aortic repair (EVAR) suitability. This retrospective single-center study included all patients(n = 52, 48 male, 70 ± 8 years) with asymptomatic AAA ≤ 5.4 cm undergoing ≥2 computed tomography angiography(CTA)/magnetic resonance imaging (MRI) studies (interval: ≥6 months) between 2010 and 2018. Aneurysm diameter, neck quality (shape, length, angulation, thrombus/calcification), aneurysm thrombus, and distal landing zone diameters were compared between first and last CTA/MRI. Resulting treatment plan changes were determined. Neck shortening occurred in 25 AAA (mean rate: 2.0 ± 4.2 mm/year). Neck thrombus, present in 31 patients initially, increased in 16. Average AAA diameters were 47.7 ± 9.3 mm and 56.3 ± 11.6 mm on first and last CTA/MRI, mean aneurysm growth rate was 4.2 mm/year. Aneurysm thrombus was present in 46 patients primarily, increasing in 32. Neck thrombus growth and neck length change, aneurysm thrombus amount and aneurysm growth and aneurysm growth and neck angulation were significantly correlated. A total of 46 (88%) patients underwent open (12/46) or endovascular (34/46) surgery. The planned procedure changed from EVAR to fenestrated EVAR in two patients and from double to triple fenestrated EVAR in one. Thus, standard EVAR suitability was predominantly maintained as the threshold diameter for surgery was reached despite morphological changes. Consecutively, a possibly different pathogenesis of infra- versus suprarenal AAA merits further investigation.