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Objective: The role of left ventricular (LV) volumes and ejection fraction (EF) in the selection of patients for the MitraClip procedure remains matter of debate. The goal of this study is to assess the pattern of LV remodeling and its clinical implications after MitraClip procedures, and to evaluate the role of LV ejection fraction (EF) in patient selection. Methods: Complete echocardiography was performed before, at discharge, 1,6, and 12-months in 45 patients treated with MitraClip for severe mitral regurgitation (MR) [age 78.2 ± 8.3 yrs, NYHA 3.74 ± 0.44, EF 36.5 ± 12.8%]. From baseline to 6-month, reverse and adverse LV-R were defined as a ≥15% decrease in LV end-systolic volume and a ≥10% increase in LV end-systolic volume, respectively. Results: At 6-month, sustained reduction of MR ≤ 2 was observed in all patients, but two; reverse, adverse, and no LV-R occurred in 51% (N = 23), 18% (N = 8), and 31% (N = 14) of patients, respectively. Baseline LV end-diastolic volume was an independent predictor of reverse LV-R [P = 0.004], whereas EF was not. During follow-up (17.5 ± 9.3 months) period, 50% of adverse/no LV-R patients were free of the composite endpoint (mortality and hospitalization for heart failure) compared to 95.7% of reverse LV-R patients (P = 0.006). In Cox analysis, adverse LV-R and adverse/no LV-R were associated with composite endpoint with adjusted hazard ratios of 5.6 (95% CI 1.65-19.00) and 10.08 (95% CI 1.29–78.6), respectively. Conclusion: After MitraClip implantation, sustained adverse or no LV-R occurred in one-in-two patients and was associated with poor prognosis. Large LV volumes may help us to avoid the futility of the procedure.

Yb:CaF2 transparent ceramics represent a promising laser gain medium for ultra-short lasers due to their characteristics: low phonon energy, relatively high thermal conductivity, negative thermo-optical coefficient, and low refractive index. Compared to single crystals, Yb:CaF2 ceramics offer superior mechanical properties, lower cost, and it is easier to obtain large-sized samples with proper shape and uniform Yb3+ doping at high concentrations. The combination of air pre-sintering and Hot Isostatic Pressing (HIP) emerges as a viable strategy for achieving high optical quality and fine-grained structure of ceramics at lower sintering temperatures. The properties of the powders used in ceramic fabrication critically influence both optical quality and laser performance of Yb:CaF2 ceramics. In this study, the 5 atomic percentage (at.%) Yb:CaF2 transparent ceramics were fabricated by air pre-sintering and hot isostatic pressing (HIP) using nano-powders synthesized through the co-precipitation method. The co-precipitated powders were optimized by studying air calcination temperature (from 350 to 550 °C). The influence of calcination temperature on the microstructure and laser performance of Yb:CaF2 ceramics was studied in detail. The 5 at.% Yb:CaF2 transparent ceramics air pre-sintered at 625 °C from powders air calcined at 400 °C and HIP post-treated at 600 °C exhibited the highest in-line transmittance of 91.5% at 1200 nm (3.0 mm thickness) and the best laser performance. Specifically, a maximum output power of 0.47 W with a maximum slope efficiency of 9.2% at 1029 nm under quasi-CW (QCW) pumping was measured. [ABSTRACT FROM AUTHOR]

Highly transparent 10 at.% Yb:GdxY3−xAl5O12 (x = 0.3, 0.5, and 0.7) ceramics were successfully fabricated by vacuum solid‐state reactive sintering at 1800°C for 20 h combined with hot isostatic pressing posttreatment at 1700°C for 3 h under 176 MPa pressure in Ar atmosphere. The in‐line transmittances of these ceramics with the thickness of 2.5 mm are 84.4%, 84.0%, and 83.5% at 1100 nm for x = 0.3, 0.5, and 0.7, respectively. The relationships of the Gd3+ content among the phase, microstructures, spectral, and laser properties of the Yb:GdxY3−xAl5O12 ceramics were elucidated in detail. The introduction of Gd3+ has a little influence on the crystal field strength of the Yb3+ sites in GdxY3−xAl5O12. The absorption, emission spectra, and fluorescence lifetime of the Yb3+ in these ceramics are similar, close to 10 at.% Yb:YAG ceramics. Quasi‐continuous wave laser outputs of the ceramics were also achieved. The maximum laser output powers are 7.8, 7.7, and 6.6 W with the corresponding slope efficiency as 46.2%, 44.7%, and 39.2% for x = 0.3, 0.5, and 0.7, respectively. The 7.8 W laser output power is the highest value achieved so far for the Yb:GdYAG ceramics, to the best of our knowledge. The previous discussions show that not all the mixed garnets could enhance full width at half maximum of absorption and emission peaks for the active ions; however, the Yb:GdYAG ceramics are still excellent laser gain media. [ABSTRACT FROM AUTHOR]

In this work, 5at.% Yb:Lu2O3 transparent ceramics were air‐annealed at different temperatures to eliminate oxygen vacancies for laser performance improvement. The influence of annealing temperature on microstructures, optical quality, and laser performance was investigated comprehensively. The ceramics HIP (Hot isostatic pressing) post‐treated at 1750°C and annealed above 1100°C show a significant optical quality decrease due to residual pore expansion, and the ceramic sample annealed at 900°C shows better laser performance than others. The maximum output of 2.88 W was obtained at 1033.3 nm with a slope efficiency of 37.4% under a quasi‐continuous wave (QCW) mode. Note that 5at.% Yb:Lu2O3 transparent ceramics HIP post‐treated at 1550°C still keep good transparency even when being annealed at 1300°C due to less residual compressed pores. The highest slope efficiency is about 73.8% with a maximum output power of 2.84 W under QCW. Fine‐grained and dense Yb:Lu2O3 transparent ceramics could be annealed at higher temperatures to eliminate oxygen vacancies more thoroughly to improve laser performance. [ABSTRACT FROM AUTHOR]

5at.% Yb:Lu2O3 transparent ceramics were fabricated successfully by vacuum sintering along with hot isostatic pressing posttreatment from the nanopowders. The influences of calcination temperature on morphology and microstructures of powders and ceramics were studied systematically. The optimal ceramic sample from the nanopowder calcined at 1050°C shows uniform and dense microstructure with the in‐line transmittance of 81.5% at 1100 nm. The results of the thermal measurements, that is, thermal conductivity and specific heat, were related to the changes occurring in the microstructure of the ceramics studied. It was shown on this basis that appropriate control of the technological process of sintering ceramics makes it possible to obtain laser ceramics with very good thermal properties as well as maintaining their high optical quality. Concerning the laser performance, the highest‐optical quality 5at.% Yb:Lu2O3 sample was pumped in quasi‐continuous wave conditions measuring a maximum output power of 2.59 W with a corresponding slope efficiency of 32.4%. [ABSTRACT FROM AUTHOR]