Opening | Course Objectives
H. Dörge / O. Babliak

• Welcome Address
• Course Overview
• How the Live Surgery Format Works
• Vision and Mission of the TCRAT Forum

Live Case 1:
“Fulda Technique”
Surgeons: H. Dörge / C. Sellin
Moderator: O. Babliak, A. Rastan
Expert Panel: Cem Alhan, Emad AlJaaly, Robert Balan

Live Surgery – Operative Step Commentary
Key operative phases for discussion:

• Access and thoracotomy
• LIMA harvesting
• Pericardial exposure
• Cannulation strategy
• Target vessel exposure
• Anastomotic strategy

During Procedure – Short Expert Talks
Perfusion Strategy, Anesthesia and Postoperative
Management

Speaker 1: Volodymyr Demianenko
Perfusion Strategy and CPB Management in TCRAT:
Planning, Cannulation, and Intraoperative Setup

Speaker 2: Robert Schier
Perioperative Management in TCRAT: Painless extuba-
tion in the OR

Speaker 3: Martin Andreas
Femoral Cannulation in Minimally Invasive Cardiac
Surgery

Live Case 2:
Multivessel TCRAT “Without Tapes”
Surgeons: C. Sellin / V. Demianenko
Moderator: H. Dörge
Expert Panel: S ahin Senay, Laurens Wollersheim, Martin Andreas

Live Surgery – Operative Step Commentary
Key operative phases for discussion:

• Exposure strategy
• Multivessel grafting workflow
• CPB management
• Hemodynamic considerations

During Procedure – Short Expert Talks
Conduit Harvesting and Coronary Revascularization
Strategies

Speaker 1: Dmytro Babliak
Multi-Arterial Grafting in TCRAT: Why the Radial Artery
Matters

Speaker 2: Cüneyt Narin
Operative Strategies in TCRAT: Posterior Pericardioto-
my and ITA Retractor Selection

Speaker 3: Laurens Wollersheim
Thoracoscopic Internal Mammary Artery Harvesting:
Technical Aspects

End of Day 1

Gala Dinner (extra fee: 100 Euro)
Maritim Hotel am Schlossgarten Fulda

Day 2: Opening
Clinical update on patients operated on Day 1
Christian Sellin

Live Case 3:
“Classic” Multivessel TCRAT
Surgeons: O. Babliak / V. Demianenko
Moderator: Christian Sellin
Expert Panel:Torsten Doenst, Gloria Färber, Hilmar Dörge

Live Surgery – Operative Step Commentary
Key operative phases for discussion:

• Exposure techniques
• Multivessel grafting sequence
• Management of lateral wall targets
• Hemodynamic considerations

During Procedure – Short Expert Talks
Advanced Surgical Strategy

Speaker 1: Christian Sellin
Patient Selection and Subgroup Outcomes in TCRAT:
Sex, Age, Obesity, and Clinical Context

Speaker 2: Sahin Senay
Robotic-Assisted TCRAT: Current Techniques and
Practical Experience

Speaker 3: Robert Balan
Extending the TCRAT Platform: Endo-Aortic Clamping
with the IntraClude Device

IMPLEMENTATION CORE
Technical Strategies in Minimally Invasive CABG

Torsten Doenst
The Power of CABG: Evidence, Controversies, and the Future of Trial Design

Cem Alhan
Robotic Cardiac Surgery and Coronary Revascularization: Experience, Vision, and Future Directions

Oleksandr Babliak
From Innovation to Standardization: The Early Development of TCRAT

Thomas Menzel
Implementing Advanced Cardiac Surgery Programs: The Hospital Manager’s View

Volker Schächinger
TCRAT in the Treatment of Multivessel Coronary Disease: The Cardiologist’s View

Hilmar Dörge
Minimally Invasive On-Pump CABG: Rediscovering a Powerful Surgical Concept

International Panel Discussion
From First Case to Routine Program around the World

Experienced international faculty and program leaders will present their perspectives on the implementation and evolution of minimally invasive coronary surgery programs across different centers.
The discussion will address the major determinants of successful program development, with particular focus on:

• Patient selection
• Learning curve
• Team building
• Institutional barriers
• Training pathways
• Program sustainability

Chair/Closing Remarks:

• Key Takeaways
• Future Educational Initiatives

A. Rastan
(Fulda, Germany)

R. Schier
(Fulda, Germany)

V. Schächinger
(Fulda, Germany)

C. Sellin
(Fulda, Germany)

S. Senay
(Istanbul, Türkiye)

A. Toibayev
(Astana, Kazakhstan)

K. Vitanova
(Munich, Germany)