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The US Food and Drug Administration (FDA) approved Ticagrelor (Brilinta) to reduce the risk of heart attack and heart stroke in acute coronary syndrome patients within 24 hours. In the United States, there are approximately 1.5 million vascular access procedures performed per year. Medical imaging plays an increasingly important role in patient care. Harmonic technology (HDx™) enables real-time, clinically relevant 3D rotational angiography in the micron-sized aorta. Harmonic technology (HDx™) is an FDA-approved catheter-based technique for the diagnostic assessment of patients with peripheral stenoses and occlusions. The coronary artery and periphery are currently the most common vascular access sites for chronic hemodialysis treatments. The use of digital subtraction angiography (DSA) for vascular access management of chronic hemodialysis patients has significantly improved long-term patency, especially in vascular accesses with small or medium diameters. However, the invasiveness of DSA is marked by its requirement for anesthesia, the need for contrast medium administration, radiation exposure, multiple procedures, and the risk of vascular access-related complications, due to puncture site, infection, bleeding, and central line-associated complications. In the future, a strong possibility exists for the vascular access site to be used for routine hemodialysis. With increasing adoption of DSA vascular access procedures for vascular access management, three-dimensional rotational angiography plays an important role in the clinical practice. It facilitates the exact detection of stenosis and occlusion in the vascular access site and facilitates prediction of the positions and morphology of the lesions. Three-dimensional rotational angiography provides more diagnostic and interventional procedures, thus resulting in improved economic and medical care in vascular access management.

On October 19, 2009, the House of Representatives passed H.R. 1195, the National and Homeland Security Preparedness Reauthorization Act of 2009 (H.R. 1195). The journal Liaison, published since 1972 by the United States Senate Committee on Homeland Security and Governmental Affairs, and the newsletter Homeland Security Law Matters are put on congressional record by the Congressional Research Service. The journal and newsletter are scanned and put on the NLS Web site. d2c66b5586

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