Sex disparities in popliteal artery aneurysms.

OBJECTIVE: Only 5% of patients with popliteal artery aneurysms (PAAs) are female. Evidence on PAA treatment and outcomes in women is therefore scarce. The POPART Registry provides one of Europe's largest data collections regarding PAA treatment. Data on clinical presentation, aneurysm morphology, and perioperative outcomes after open surgical PAA repair in women will be presented. METHODS: POPART is a multicenter, noninterventional registry for open and endovascular PAA repair, with 42 participating centers in Germany and Luxembourg. All patients aged >18 years who have been treated for PAA since 2010 are eligible for study inclusion. Data collection is based on an online electronic case report form. RESULTS: Of the 1236 PAAs, 58 (4.8%) were in women. There were no significant differences in age or cardiopulmonary comorbidities. However, female patients had a lower prevalence of contralateral PAAs and abdominal aortic aneurysms (P < .05). PAAs in women were more likely to be symptomatic before surgery (65.5% vs 49.4%; P = .017), with 19% of women presenting with acute limb ischemia (vs 11%; P = .067). Women had smaller aneurysm diameters than men (22.5 mm vs 27 mm; P = .004) and became symptomatic at smaller diameters (20 mm vs 26 mm; P = .002). Only 8.6% of women and 11.6% of men underwent endovascular aneurysm repair (P > .05); therefore, the perioperative outcome analysis focused on open surgical repair. In total, 23.5% of women and 16.9% of men developed perioperative complications (P > .05). There were no differences in major cardiovascular events (P > .05), but women showed a higher incidence of impaired wound healing (15.7% vs 7.2%; P = .05) and major amputation (5.9% vs 1.1%; P = .027). Female sex was significantly associated with the need for nonvascular reinterventions within 30 days after surgery (odds ratio: 2.48, 95% confidence interval: 1.26-4.88), whereas no significant differences in the odds for vascular reinterventions were observed (odds ratio: 1.98, 95% confidence interval: 0.68-5.77). In the multiple logistic regression model, female sex, symptomatic PAAs, poor quality of outflow vessels, and graft material other than vein graft were independently associated with perioperative reinterventions. CONCLUSIONS: Women have smaller PAAs, are more likely to be symptomatic before treatment, and are more often affected by nonvascular reinterventions in the perioperative course. As our understanding of aneurysmatic diseases in women continues to expand, sex-specific treatment strategies and screening options for women in well-selected cohorts with modified screening protocols should be continuously re-evaluated.

Synthesis and characterisation of the complete series of B-N analogues of triptycene.

The reaction between the bisborate Li2[o-C6H4(BH3)2] and 2 equivalents of an appropriate pyrazole derivative (Hpz(R)) in the presence of Me3SiCl yields o-phenylene-bridged pyrazaboles HB(µ-pz(R))2(µ-o-C6H4)BH (3a-3e; Hpz(R) = 4-iodopyrazole (3a), 4-(trimethylsilyl)pyrazole (3b), 3,5-dimethylpyrazole (3c), 3,5-di(tert-butyl)pyrazole (3d), 3,5-bis(trifluoromethyl)pyrazole (3e)). The synthesis approach thus provides access to uncharged B-N triptycenes bearing (i) functionalisable groups, (ii) electron-donating or -withdrawing substituents and (iii) pyrazole rings of varying steric demand. Treatment of p-R*C6H4BBr2 with the potassium tris(pyrazol-1-yl)borates K[HBpz3] or K[p-R*C6H4Bpz3] yields cationic pyrazolyl-bridged pyrazaboles [p-BrC6H4B(µ-pz)3BH]Br ([4a]Br) and [p-R*C6H4B(µ-pz)3Bp-C6H4R*]Br (R* = Br ([4b]Br), I ([4c]Br), SiMe3 ([4d]Br)), which can be regarded as full B-N analogues of triptycene. The B-H bonds of 3b and [4a]Br are unreactive towards tBuC[triple bond, length as m-dash]CH even at temperatures of 80 °C, thereby indicating an appreciable thermal stability of the corresponding B-N cage bonds. Most of the cage compounds are sufficiently inert towards water to allow quick aqueous workup. However, NMR spectroscopy in CD3OD solution reveals degradation of 3b or [4a]Br to the corresponding pyrazoles and o-C6H4(B(OCD3)2)2 or p-BrC6H4B(OCD3)2/B(OCD3)3. The diphenylated species [4b]Br is significantly more stable under the same measurement conditions; even after 76 d, most of the material degrades only to the stage of the syn/anti-pyrazaboles p-BrC6H4(CD3O)B(µ-pz)2B(OCD3)p-C6H4Br (11a/11b). A derivatisation of [4c]Br with nBu3SnC≡CtBu through Stille-type coupling reactions furnishes the alkynyl derivative [p-tBuC≡CC6H4B(µ-pz)3Bp-C6H4C≡CtBu]Br ([4e]Br). Larger B-N aggregates are also accessible: treatment of the tetrakisborate Li4[1,2,4,5-C6H2(BH3)4] with 4 equivalents of Hpz(R) in the presence of Me3SiCl leads to the corresponding B-N pentiptycenes (Hpz(R) = 3,5-bis(trifluoromethyl)pyrazole (14a), 4-(trimethylsilyl)pyrazole (14b), 3,5-dimethylpyrazole (14c), 3,5-di(tert-butyl)pyrazole (14d)).

Structural characteristics of dibromoborylated benzene derivatives.

The crystal structures of five dibromobenzene derivatives, namely dibromoborylbenzene, C(6)H(5)BBr(2), (I), 1-dibromoboryl-4-(trimethylsilyl)benzene, C(9)H(13)BBr(2)Si, (II), 4-bromo-1-(dibromoboryl)benzene, C(6)H(4)BBr(3), (III), dibromo(dimethylamino)(phenyl)borane, C(8)H(12)BBr(2)N, (IV), and dibromo(dimethylsulfanyl)[4-(trimethylsilyl)phenyl]borane, C(11)H(19)BBr(2)SSi, (V), have been determined. Compounds (I)-(IV) crystallize with one molecule in the asymmetric unit, but the molecule of (V) is located on a crystallographic mirror plane, implying twofold disorder of the central aromatic ring, the S atom and one of the methyl groups bonded to the S atom. In (I), (II) and (III), the B atom is three-coordinated, and in (IV) and (V) it is four-coordinated. The geometric parameters of the -BBr(2) group in these five structures agree well with those of comparable structures retrieved from the Cambridge Structural Database. The C-B and B-Br bond lengths in the molecules with a three-coordinated B atom are significantly shorter than those in the molecules with a four-coordinated B atom. In the compounds with a three-coordinated B atom, the -BBr(2) group tends to be coplanar with the aromatic ring to which it is attached.