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Four badly occluded arteries, one a millimeter wide, ruled out any possibility of less invasive procedures.
Other patients, he said, could be offered medical treatment or less invasive procedures like balloon angioplasty to open clogged vessels.
They want quicker, less expensive and less invasive procedures, and new medical technologies are feeding and increasing the demand.
The pathologist's job is only getting more difficult as doctors move toward less invasive procedures that are designed to disturb the body as little as possible.
Dr. Spencer said that the trend these days was for less invasive procedures that could be performed quickly and involve less down time for healing.
"There is definitely a trend toward smaller, less invasive procedures," said Dr. Walter L. Erhardt Jr., the president of the society.
Dr. Marmur and some other experts expressed optimism that these or similar treatments might one day be administered through less invasive procedures than chest surgery.
Less invasive procedures preserving maximal bony and ligamentous structures have recently been recommended to reduce associated morbidity.
Indeed, the increasing popularity among celebrities of less invasive procedures has turned the idea of cosmetic treatments into a kind of guessing game played with equal gusto by red-carpet commentators and couch potatoes at home.
It has also proved vital for those who also have damaged heart valves or aneurysms that requires repair, patients who have diabetes and those with recurring chest pains that cannot be relieved by medications or less invasive procedures.
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The complaints assert that the companies encouraged doctors to conduct more time-consuming and expensive procedures performed in hospitals rather than less-invasive procedures.
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