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Homoleptic tetramethylaluminates Ln(AlMe4)3 react with KTptBu,Me (TptBu,Me = tris(3-tBu-5-Me-pyrazolyl)borato) to yield rare-earth-metal methylidene complexes (TptBu,Me)Ln(µ3-CH2)[(µ-Me)AlMe2]2 (Ln = La, Ce, Nd). The lanthanum reaction is prone to additional C-H- and B-N-bond activation, affording coproducts La[HB(pzMe,tBu)(pzCMe2,Me)2][(µ-CH2)(µ-Me)AlMe2]2 and [La(µ-pztBu,Me)(AlMe4)2]2 (pztBu,Me = 3-tBu-5-Me-pyrazolato). The protonolysis reaction of Ln(AlMe4)3 and HpztBu,Me provides more efficient access to [Ln(µ-pztBu,Me)(AlMe4)2]2 (Ln = La, Nd). Treatment of Ln(AlMe4)3 with KTpMe,Me led to methylidene complexes (TpMe,Me)Ln(µ3-CH2)[(µ-Me)AlMe2]2 (Ln = Nd, Sm) or bis(tetramethylaluminate) complexes (TpMe,Me)Ln(AlMe4)2 (Ln = Y, Lu). The neodymium reaction generated methine derivative (TpMe,Me)Nd[(µ4-CH)(AlMe2)2(µ-pz,Me,Me)][(µ-Me)AlMe2] as a minor coproduct. The reaction of Ln(GaMe4)3 (Ln = Y, La, Ce, Nd, Sm, Ho) with HTptBu,Me gave methylidene complexes (TptBu,Me)Ln(µ3-CH2)[(µ-Me)GaMe2]2 (Ln = La, Ce, Nd, Sm) and alkyl complexes (TptBu,Me)LnMe[(µ-Me)GaMe3] (Ln = Y, Ho), while competing B-N bond activation reactions produced GaMe2[BH(Me)(µ-pztBu,Me)2] and (TptBu,Me)Ln(η2-pztBu,Me)[(µ-Me)GaMe3] (Ln = Y, Ho). The steric impact of the TpR,Me ligands was examined by cone angle calculations. Rare-earth-metal methylidene complexes (TptBu,Me)Ln(µ3-CH2)[(µ-Me)EMe2]2 (E = Al, Ga) successfully promote carbonyl methylenation reactions upon addition of ketone.
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BACKGROUND: Acute upper gastrointestinal bleeding is a life-threatening medical condition with a relevant risk of re-bleeding even after initial endoscopic hemostasis. The implantable HemoPill monitor contains a novel telemetric sensor to optically detect blood in the stomach allowing the surveillance of high-risk patients for re-bleedings. METHODS: In this pre-clinical porcine study, bleeding has been simulated by injecting porcine blood into the stomach of a pig through an implanted catheter using a syringe pump. The effect of the sensor position in the stomach, the gastric food content, and the bleeding intensity was investigated. RESULTS: Sensitivity and specificity of the sensor reached more than 87.5% when the sensor was positioned close to the source of bleeding. Solid food had a higher negative impact on sensitivity than liquid food but a positive impact on specificity. A heavy bleeding was more likely to be detected by the sensor but was also associated with a lower likelihood for true-negative results than weaker bleedings. CONCLUSIONS: The study clearly demonstrated the capability of the HemoPill sensor prototype to detect clinically relevant bleedings with high sensitivity and specificity (> 80%) when the sensor was positioned close to the bleeding site. The sensors proved to be robust against artefact effects from stomach content. These are favorable findings that underline the potential benefit for the use of the HemoPill sensor in monitoring patients with a risk of re-bleeding in the upper gastrointestinal tract.
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Técnicas Biosensibles/instrumentación , Hemorragia Gastrointestinal/diagnóstico , Telemetría , Animales , Modelos Animales , Sensibilidad y Especificidad , PorcinosRESUMEN
As previously shown for lutetium and yttrium, 1,2,3,4,5-pentamethylcyclopentadienyl (C5Me5 = Cp*)-bearing rare-earth metal dimethyl half-sandwich complexes [Cp*LnMe2]3 are now also accessible for holmium, dysprosium, and terbium via tetramethylaluminato cleavage of [Cp*Ln(AlMe4)2] with diethyl ether (Ho, Dy) and tert-butyl methyl ether (TBME) (Tb). C-H-bond activation and ligand redistribution reactions are observed in case of terbium and are dominant for the next larger-sized gadolinium, as evidenced by the formation of mixed methyl/methylidene clusters [(Cp*Ln)5(CH2)(Me)8] and metallocene dimers [Cp*2Ln(AlMe4)]2 (Ln = Tb, Gd). Applying TBME as a "cleaving" reagent can result in both TBME deprotonation and ether cleavage, as shown for the formation of the 24-membered macrocycle [(Cp*Gd)2(Me)(CH2OtBu)2(AlMe4)]4 or monolanthanum complex [Cp*La(AlMe4){Me3Al(CH2)OtBu}] and monoyttrium complex [Cp*Y(AlMe4)(Me3AlOtBu)], respectively. Complexes [Cp*Ln(AlMe4)2] (Ln = Ho, Dy, Tb, Gd) and [Cp*LnMe2]3 (Ln = Ho, Dy) are applied in isoprene and 1,3-butadiene polymerization, upon activation with borates [Ph3C][B(C6F5)4] and [PhNHMe2][B(C6F5)4], as well as borane B(C6F5)3. The trans-directing effect of AlMe3 in the binary systems [Cp*Ln(AlMe4)2]/borate is revealed and further corroborated by the fabrication of high-cis-1,4 polybutadiene (97%) with "aluminum-free" [Cp*DyMe2]3/[Ph3C][B(C6F5)4]. The formation of multimetallic active species is supported by the polymerization activity of pre-isolated cluster [(Cp*Ho)3Me4(CH2)(thf)2].
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Butadienos/química , Complejos de Coordinación/química , Hemiterpenos/química , Enlace de Hidrógeno , Metales de Tierras Raras/química , Polimerizacion , Modelos Moleculares , Conformación Molecular , Estructura MolecularRESUMEN
OBJECTIVE: The current research focuses on sexual risk behaviour among young adult Canadians who have not been vaccinated against HPV. METHODS: Six hundred and forty-six Canadian university undergraduates completed a self-administered survey assessing HPV vaccination status and sexual risk behaviour. RESULTS: Five hundred and thirty-seven participants (154 men and 383 women aged 17-23) who met eligibility criteria were analyzed. 48.5% (n = 185) of female and 89.6% (n = 138) of male participants had not been vaccinated against HPV. In the unvaccinated cohort, 51.4% (n = 95) of women were coitally experienced, 49.2% (n = 91) reported experience with oral sex, and 6.5% (n = 12) reported experience with receptive anal intercourse. 55.1% (n = 76) of men were coitally experienced, 22.5% (n = 31) of men reported receptive oral sex, and 2.9% (n = 4) of men reported receptive anal intercourse. Using validated sexual risk behaviour cut-offs, we determined that in the female unvaccinated population, the proportion at significantly increased risk for genital warts, cervical, anal, and oropharyngeal cancer was 11.0%, 30.0%, 6.5%, and 49.2% respectively. In the male unvaccinated population, the proportion at significantly elevated risk for genital warts and anal cancer was 27.2% and 2.9% respectively. CONCLUSION: Unvaccinated young Canadian women and men commonly engaged in sexual risk behaviours for HPV infection, engaged in sexual risk behaviours at a similar level as their vaccinated counterparts, and a substantial number were at elevated risk of HPV related morbidities at a young age. Findings contribute to an evidence-based case for redoubling efforts to encourage HPV vaccination among unvaccinated young Canadians who are at risk of HPV infection.
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Conductas de Riesgo para la Salud , Vacunas contra Papillomavirus , Conducta Sexual/estadística & datos numéricos , Vacunación/estadística & datos numéricos , Adolescente , Canadá , Femenino , Humanos , Masculino , Encuestas y Cuestionarios , Vacunación/psicología , Adulto JovenRESUMEN
BACKGROUND: An acute upper gastrointestinal bleeding event is an emergency situation which requires immediate endoscopic assessment and treatment. A new telemetric real-time intracorporeal bleeding sensor can help in the timely diagnosis of an acute upper gastrointestinal bleeding event: The sensor capsule, HemoPill, is swallowed by the patient if gastrointestinal bleeding is suspected. Information about the bleeding status is displayed by telemetric communication of the capsule with an extracorporeal receiver. This is the first evaluation of the HemoPill to detect blood in the upper human gastrointestinal tract. METHODS: A voluntary test person ate a defined meal with or without the adjunct of his own blood for a total of eight times and afterward swallowed the sensor capsule. The collected spectrometric receiver data were analyzed to assess whether the sensor system was capable of detecting blood and to evaluate the effect of stomach content as an artifact. RESULTS: With its optical sensor, the HemoPill was able to reliably indicate the ingested blood in the stomach. The data transmission from the swallowed sensor capsule to the extracorporeal receiver was achieved consistently. The evaluation of diverse concentrations of ingested blood and the respective sensor signals led to an exponential relationship of these variables. This relationship allows to define thresholds for categories indicating the likelihood of blood presence in the gastrointestinal tract. CONCLUSIONS: The HemoPill is a valuable tool to detect an acute upper gastrointestinal bleeding event without the need of endoscopy.
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Enfermedades del Esófago/diagnóstico , Hemorragia Gastrointestinal/diagnóstico , Voluntarios Sanos , Imagen Óptica/instrumentación , Gastropatías/diagnóstico , Telemetría/instrumentación , HumanosRESUMEN
Tactile feedback is completely lost in laparoscopic surgery, which would provide information about tissue compliance, texture, structural features, and foreign bodies. We developed a system with artificial tactile feedback for laparoscopic surgery that consists of a telemetric tactile laparoscopic grasper, a remote PC with customized software, and a commercial video-mixer. A standard, nonsensorized laparoscopic grasper was customized to allow the integration of a tactile sensor and its electronics. The tactile sensor and the electronics module were designed to be detachable from the instrument. These parts are lightweight and wireless, thus not impeding the use of the device as surgical instrument. The remaining system components used to generate visualization of the tactile data do not influence the workflow in the operating room. The overall system design of the described instrumentation allows for easy implementation in an operating room environment. The fabrication of the tactile sensor is relatively easy and the production costs are low. With this telemetric laparoscopic grasper instrument, systematic preclinical studies can be performed in which surgeons execute surgical tasks that are derived from clinical reality. The experience gained from these investigations could then be used to define the requirements for any further development of artificial tactile feedback systems.
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Diseño de Equipo/métodos , Retroalimentación , Laparoscopios/economía , Laparoscopía/instrumentación , Telemetría/instrumentación , Interfaz Usuario-Computador , Análisis Costo-Beneficio , Humanos , Instrumentos Quirúrgicos/economía , Análisis y Desempeño de Tareas , TactoRESUMEN
The reaction of 2-(6-methyl-2-pyridyl)-1,1-diphenyl-ethanol [HONCH3] with Ln(AlMe4)3 (Ln = La, Nd, Y) via a deprotonation/C-H-bond activation sequence gave complexes [ONCH2]Ln(AlMe3)2(AlMe4) (Ln = La, Nd, Y) bearing the dianionic tridentate ligand [ONCH2]. In contrast, the reactions involving the smaller rare-earth metals yttrium and lutetium resulted in double C-H-bond activation and formation of [ONCH]Ln(AlMe3)3 (Ln = Y, Lu) with the formally trianionic tridentate ligand [ONCH]. The solid-state structures of all complexes as obtained by X-ray structure analysis revealed an axial chirality which could be corroborated by low-temperature 1H NMR spectroscopy. All complexes displayed high activity in the polymerization of isoprene, upon activation with standard fluorinated borate/borane cocatalysts. The catalyst activity and cis-1,4-selectivity could be increased by using of two equivalents of cocatalyst instead of one. For example, when activated with two equivalents of [PhNMe2H][B(C6F5)4] complex [ONCH]Y(AlMe3)3 gave almost complete conversion after 15 minutes fabricating a polyisoprene with a cis-1,4-content of 83.5% (no trans-1,4-content detected).
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Background and study aims Upper gastrointestinal bleeding (UGIB) is a frequent cause of hospitalization. Because of the lack of reliable noninvasive diagnostic tools, the decision to proceed with emergency endoscopy in these cases is made based on clinical parameters. A novel non-imaging telemetric real-time sensor capsule (HemoPill Acute, Ovesco Endoscopy AG) has shown promising results for noninvasive detection of UGIB in preclinical studies. Patients and methods We conducted a prospective non-randomized, single center, open-label study to investigate feasibility and safety of the novel sensor capsule in patients with symptoms of UGIB. The primary aim of the first clinical study was to investigate feasibility and safety of the device in a clinical setting. All patients underwent endoscopy within 12 hours after capsule ingestion. Sensor data from the capsule within 10 minutes after ingestion were compared with endoscopic findings. Results From April 2015 to February 2016, 30 consecutive patients with symptoms of acute UGIB were included; 27 were eligible for analysis. Capsule ingestion was well tolerated in all patients and there were no device-related adverse events. Endoscopy showed blood or hematin in the upper gastrointestinal tract of 10 of 27 patients; in 2 of 10 patients it was estimated to be more than 20 mL; in 4 of 8 patients it was between 5 and 20âmL and in 4 of 8 it was estimated to <â5âmL. The sensor capsule was positive in 2 of 2 patients (100â%) with >â20âmL of blood or hematin and in 1 of 8 patients (12.5â%) between 5 and 20âmL. All patients (17/17; 100â%) were correctly identified as non-bleeders. Conclusion Both device and procedure proved to be safe and feasible. Larger studies will be necessary to evaluate the role of the sensor capsule in risk stratification of patients with acute UGIB.
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The reaction of Ln(AlMe(4))(3) with bulky hydrotris(pyrazolyl)borate (Tp(t)(Bu,Me))H proceeds via a sequence of methane elimination and C-H bond activation, affording unprecedented rare-earth metal ligand moieties including Ln(Me)[(micro-Me)AlMe(3)] and X-ray structurally characterized "Tebbe-like" Ln[(micro-CH(2))(2)AlMe(2)].
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Boratos/química , Elementos de la Serie de los Lantanoides/química , Compuestos Organometálicos/química , Pirazoles/química , Aluminio/química , Cristalografía por Rayos X , Ligandos , Modelos Moleculares , Estructura Molecular , Compuestos Organometálicos/síntesis química , Itrio/químicaRESUMEN
Acute upper gastrointestinal bleedings from ulcers or esophago-gastric varices are life threatening medical conditions which require immediate endoscopic therapy. Despite successful endoscopic hemostasis, there is a significant risk of rebleeding often requiring close surveillance of these patients in the intensive care unit (ICU). Any time delay to recognize bleeding may lead to a high blood loss and increases the risk of death. A novel telemetric real-time bleeding sensor can help indicate blood in the stomach: the sensor is swallowed to detect active bleeding or is anchored endoscopically on the gastrointestinal wall close to the potential bleeding source. By telemetric communication with an extra-corporeal receiver, information about the bleeding status is displayed. In this study the novel sensor, which measures characteristic optical properties of blood, has been evaluated in an ex-vivo setting to assess its clinical applicability and usability. Human venous blood of different concentrations, various fluids, and liquid food were tested. The LED-based sensor was able to reliably distinguish between concentrated blood and other liquids, especially red-colored fluids. In addition, the spectrometric quality of the small sensor (size: 6.5mm in diameter, 25.5mm in length) was comparable to a much larger and technically more complex laboratory spectrophotometer. The experimental data confirm the capability of a miniaturized sensor to identify concentrated blood, which could help in the very near future the detection of upper gastrointestinal bleeding and to survey high-risk patients for rebleeding.
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Técnicas Biosensibles , Hemorragia Gastrointestinal/sangre , Hemorragia/diagnóstico , Telemetría , Hemorragia Gastrointestinal/patología , Hemostasis Endoscópica , Humanos , Estómago/patologíaRESUMEN
A series of rare-earth metal diisopropylamide complexes has been obtained via salt metathesis employing LnCl3(THF)x and lithium (LDA) or sodium diisopropylamide (NDA) in n-hexane. Reactions with AM : Ln ratios ≥3 gave ate complexes (AM)Ln(NiPr2)4(THF)n (n = 1, 2; Ln = Sc, Y, La, Lu; AM = Li, Na) in good yields. For smaller rare-earth metal centres such as scandium and lutetium, a Li : Ln ratio = 2.5 accomplished ate-free tris(amido) complexes Ln(NiPr2)3(THF). The chloro-bridged dimeric derivatives [Ln(NiPr2)2(µ-Cl)(THF)]2 (Ln = Sc, Y, La, Lu) could be obtained in high yields for Li : Ln = 1.6-2. The product resulting from the Li : La = 1 : 1.6 reaction revealed a crystal structure containing two different molecules in the crystal lattice, [La(NiPr2)2(THF)(µ-Cl)]2·La(NiPr2)3(THF)2. Recrystallization of the chloro-bridged dimers led to the formation of the monomeric species Ln(NiPr2)2Cl(THF)2 (Ln = Sc, Lu) and La(NiPr2)3(THF)2. The reaction of YCl3 and LDA with Li : Y = 2 in the absence of THF gave a bimetallic ate complex LiY(NiPr2)4 with a chain-like structure. For scandium, the equimolar reactions with LDA or NDA yielded crystals of tetrametallic mono(amido) species, {[Sc(NiPr2)Cl2(THF)]2(LiCl)}2 and [Sc(NiPr2)Cl2(THF)]4, respectively. Depending on the Ln(iii) size, AM, and presence of a donor solvent, ate complexes (AM)Ln(NiPr2)4(THF)n show distinct dynamic behaviour as revealed by variable temperature NMR spectroscopy. The presence of weak LnCH(iPr) ß-agostic interactions, as indicated by Ln-N-C angles <105°, is corroborated by DFT calculations and NBO analysis.
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Trinuclear rare-earth metal methylidene complexes with a Ln3(µ3-CH2)(µ3-Me)(µ2-Me)3 structural motif were synthesized by applying three protocols. Polymeric [LuMe3]n (1-Lu) reacts with the sterically demanding amine H[NSiMe3(Ar)] (Ar = C6H3iPr2-2,6) in tetrahydrofuran via methane elimination to afford isolable monomeric [NSiMe3(Ar)]LuMe2(thf)2 (4-Lu). The formation of trinuclear rare-earth metal tetramethyl methylidene complexes [NSiMe3(Ar)]3Ln3(µ3-CH2)(µ3-Me)(µ2-Me)3(thf)3 (7-Ln; Ln = Y, Ho, Lu) via reaction of [LnMe3]n (1-Ln; Ln = Y, Ho, Lu) with H[NSiMe3(Ar)] is proposed to occur via an "intermediate" species of the type [NSiMe3(Ar)]LnMe2(thf)x and subsequent C-H bond activation. Applying Lappert's concept of Lewis base-induced methylaluminate cleavage, compounds [NSiMe3(Ar)]Ln(AlMe4)2 (5-Ln; Ln = Y, La, Nd, Ho) were converted into methylidene complexes 7-Ln (Ln = Y, Nd, Ho) in the presence of tetrahydrofuran. Similarly, tetramethylgallate complex [NSiMe3(Ar)]Y(GaMe4)2 (6-Y) could be employed as a synthesis precursor for 7-Y. The molecular composition of complexes 4-Ln, 5-Ln, 6-Y and 7-Ln was confirmed by elemental analyses, FTIR spectroscopy, (1)H and (13)C NMR spectroscopy (except for holmium derivatives) and single-crystal X-ray diffraction. The Tebbe-like reactivity of methylidene complex 7-Nd with 9-fluorenone was assessed affording oxo complex [NSiMe3(Ar)]3Nd3(µ3-O)(µ2-Me)4(thf)3 (8-Nd). The synthesis of 5-Ln yielded [NSiMe3(Ar)]2Ln(AlMe4) (9-Ln; Ln = La, Nd) as minor side-products, which could be obtained in moderate yields when homoleptic Ln(AlMe4)3 were treated with two equivalents of K[NSiMe3(Ar)].
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Butadienos/química , Hemiterpenos/química , Hemiterpenos/síntesis química , Látex/síntesis química , Metales de Tierras Raras/química , Compuestos Organometálicos/química , Pentanos/química , Boranos/química , Boratos/química , Catálisis , Cationes/química , Cristalografía por Rayos X , Látex/química , Ligandos , Modelos Moleculares , Conformación Molecular , Compuestos Organometálicos/síntesis química , EstereoisomerismoRESUMEN
Donor(thf)-induced tetramethylaluminate cleavage of Ln(AlMe(4))(2)(NSiMe(3)Ar(iPr)) as well as the reaction of (LnMe(3))(n) (Ln = Y, Ho, Lu) with HNSiMe(3)Ar(iPr) in tetrahydrofuran affords unprecedented trinuclear rare-earth metal tetramethyl methylidene complexes which act as Schrock-type nucleophilic carbenes and methyl transfer agents.
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The protonolysis reaction of [Ln(AlMe(4))(3)] with various substituted cyclopentadienyl derivatives HCp(R) gives access to a series of half-sandwich complexes [Ln(AlMe(4))(2)(Cp(R))]. Whereas bis(tetramethylaluminate) complexes with [1,3-(Me(3)Si)(2)C(5)H(3)] and [C(5)Me(4)SiMe(3)] ancillary ligands form easily at ambient temperature for the entire Ln(III) cation size range (Ln=Lu, Y, Sm, Nd, La), exchange with the less reactive [1,2,4-(Me(3)C)(3)C(5)H(3)] was only obtained at elevated temperatures and for the larger metal centers Sm, Nd, and La. X-ray structure analyses of seven representative complexes of the type [Ln(AlMe(4))(2)(Cp(R))] reveal a similar distinct [AlMe(4)] coordination (one eta(2), one bent eta(2)). Treatment with Me(2)AlCl leads to [AlMe(4)] --> [Cl] exchange and, depending on the Al/Ln ratio and the Cp(R) ligand, varying amounts of partially and fully exchanged products [{Ln(AlMe(4))(mu-Cl)(Cp(R))}(2)] and [{Ln(mu-Cl)(2)(Cp(R))}(n)], respectively, have been identified. Complexes [{Y(AlMe(4))(mu-Cl)(C(5)Me(4)SiMe(3))}(2)] and [{Nd(AlMe(4))(mu-Cl){1,2,4-(Me(3)C)(3)C(5)H(2)}}(2)] have been characterized by X-ray structure analysis. All of the chlorinated half-sandwich complexes are inactive in isoprene polymerization. However, activation of the complexes [Ln(AlMe(4))(2)(Cp(R))] with boron-containing cocatalysts, such as [Ph(3)C][B(C(6)F(5))(4)], [PhNMe(2)H][B(C(6)F(5))(4)], or B(C(6)F(5))(3), produces initiators for the fabrication of trans-1,4-polyisoprene. The choice of rare-earth metal cation size, Cp(R) ancillary ligand, and type of boron cocatalyst crucially affects the polymerization performance, including activity, catalyst efficiency, living character, and polymer stereoregularity. The highest stereoselectivities were observed for the precatalyst/cocatalyst systems [La(AlMe(4))(2)(C(5)Me(4)SiMe(3))]/B(C(6)F(5))(3) (trans-1,4 content: 95.6 %, M(w)/M(n)=1.26) and [La(AlMe(4))(2)(C(5)Me(5))]/B(C(6)F(5))(3) (trans-1,4 content: 99.5 %, M(w)/M(n)=1.18).
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The complexes [Ln(AlMe4)3] (Ln=Y, La, Ce, Pr, Nd, Sm, Ho, Lu) have been synthesized by an amide elimination route and the structures of [Lu{(micro-Me)2AlMe2}3], [Sm{(micro-Me)2AlMe2}3], [Pr{(micro-Me)2AlMe2}3], and [La{(micro-Me)2AlMe2}2{(micro-Me)3AlMe}] determined by X-ray crystallography. These structures reveal a distinct Ln3+ cation size-dependency. A comprehensive insight into the intrinsic properties and solution coordination phenomena of [Ln(AlMe4)3] complexes has been gained from extended dynamic 1H and 13C NMR spectroscopic studies, as well as 1D 89Y, 2D 1H/89Y, and 27Al NMR spectroscopic investigations. [Ce(AlMe4)3] and [Pr(AlMe4)3] have been used as alkyl precursors for the synthesis of heterobimetallic alkylated rare-earth metal complexes. Both carboxylate and siloxide ligands can be introduced by methane elimination reactions that give the heterobimetallic complexes [Ln{(O2CAriPr)2(micro-AlMe2)}2(AlMe4)(C6H14)n] and [Ln{OSi(OtBu)3}(AlMe3)(AlMe4)2], respectively. [Pr{OSi(OtBu)3}(AlMe3)(AlMe4)2] has been characterized by X-ray structure analysis. All of the cerium and praseodymium complexes are used as precatalysts in the stereospecific polymerization of isoprene (1-3 equivalents of Et2AlCl as co-catalyst) and compared to the corresponding neodymium-based initiators reported previously. The superior catalytic performance of the homoleptic complexes leads to quantitative yields of high-cis-1,4-polyisoprene (>98%) in almost all of the polymerization experiments. In the case of the binary catalyst mixtures derived from carboxylate or siloxide precatalysts quantitative formation of polyisoprene is only observed for nLn:nCl=1:2. The influence of the metal size is illustrated for the heterobimetallic lanthanum, cerium, praseodymium, neodymium, and gadolinium carboxylate complexes, and the highest activities are observed for praseodymium as a metal center in the presence of one equivalent of Et2AlCl.