Klinikum Fulda

TCRAT Forum Fulda 2026

September 25 – 26, 2026
Klinikum Fulda I Germany

Live surgeries | Share expertise | Launch your program

Live Course for Minimally Invasive On-Pump CABG

Let’s change the face of cardiac surgery

Publications

Deep dive into peer-reviewed publications and educational media on sternum-sparing minimally invasive multivessel CABG (TCRAT) and related left anterior minithoracotomy procedures.

1) Technique, Concept, and Practical Aspects (TCRAT / Left Anterior Thoracotomy CABG)

  • Dörge H, Sellin C, Belmenai A, Asch S, Eggebrecht H, Schächinger V (2022). Novel concept of routine total arterial coronary bypass grafting through a left anterior approach avoiding sternotomy. Heart Vessels 37:1299–1304. Publisher: Springer Nature.
  • Sellin C, Asch S, Belmenai A, Mourad F, Voss M, Dörge H (2022). Early Results of Total Coronary Revascularization via Left Anterior Thoracotomy. Thorac Cardiovasc Surg. DOI: 10.1055/s-0042-1758149.
  • Sellin C, Belmenai A, Niethammer M, Schächinger V, Dörge H (2024). Sternum sparing multivessel coronary surgery as a routine procedure: midterm results of total coronary revascularization via left anterior thoracotomy. JTCVS Techniques. DOI: https://doi.org/10.1016/j.xjtc.2024.05.018
  • Demianenko V, Dörge H, Sellin C (2026). The TCRAT Technique (Total Coronary Revascularization via Left Anterior Thoracotomy): Renaissance in Minimally Invasive On-Pump Multivessel Coronary Artery Bypass Grafting? J. Cardiovasc. Dev. Dis. 2026, 13(1), 28. DOI: https://doi.org/10.3390/jcdd13010028
  • Babliak O, Demianenko V, Melnyk Y, Revenko K, Pidgayna L, Stohov O (2019). Complete coronary revascularization via left anterior thoracotomy. Innovations (Phila) 14(4):330–334.
  • Babliak O, Demianenko V, Melnyk Y, Revenko K, Pidgayna L, Stohov O (2019). Total coronary revascularization via left anterior thoracotomy: Practical aspects. Multimed Man Cardiothorac Surg. DOI: 10.1510/mmcts.2019.031.
  • Babliak O, Demianenko V, Melnyk Y, Revenko K, Babliak D, Stohov O, Pidgayna L (2020). Multivessel Arterial Revascularization via Left Anterior Thoracotomy. Semin Thorac Cardiovasc Surg. DOI: 10.1053/j.semtcvs.2020.02.032.
  • Kyaruzi M, Gülmez H, Demirsoy E (2022). Can Minimally Invasive Multivessel Coronary Revascularization Be a Routine Approach? Thorac Cardiovasc Surg. DOI: 10.1055/s-0042-1749209.
  • Babliak O, Demianenko V, Marchenko A, Babliak D (2023). Multivessel minimally invasive on-pump direct coronary artery revascularization. DOI: 10.21037/jovs-22-2.
  • Oleksandr Babliak, Volodymyr Demianenko, Anton Marchenko, Dmytro Babliak, Yevhenii Melnyk, Oleksii Stohov, Katerina Revenko, Liliya Pidgayna (2023). Left anterior minithoracotomy as a first-choice approach for isolated coronary artery bypass grafting and selective combined procedures. European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 2, August 2023, ezad182. DOI: https://doi.org/10.1093/ejcts/ezad182

 

2) Outcomes, Comparative Studies, and Special Populations

  • Sellin C, Sand U, Demianenko V, Schmitt C, Schäfer B, Schier R, Doerge H (2024). Comparison of pulmonary outcome in minimally invasive (TCRAT) and full sternotomy CABG. Thorac Cardiovasc Surg. DOI: 10.1055/a-2378-8459.
  • Sellin C, Laube S, Demianenko V, Balan R, Dörge H, Benoehr P (2024). Renal Outcome in Patients Undergoing Minimally Invasive Total Coronary Revascularization via Anterior Minithoracotomy Compared to Full Median Sternotomy Coronary Artery Bypass Grafting. J. Clin. Med. 2024, 13, 5418. DOI: https://doi.org/10.3390/jcm13185418
  • Demianenko V, Schlömicher M, Grossmann M, Belmenai A, Dörge H, Sellin C (2025). Early Outcomes in Severely Obese Patients Undergoing Sternum-Sparing Minimally Invasive Multivessel Artery Bypass Grafting Using Total Coronary Revascularization via Left Anterior Mini-Thoracotomy. J Clin Med. 2025 Apr 8;14(8):2545. DOI: https://doi.org/10.3390/jcm14082545
  • Sellin C, Grossmann M, Belmenai A, Niethammer M, Dörge H, Demianenko V (2025). Minimally Invasive Multivessel Coronary Artery Bypass Grafting Using Total Coronary Revascularization via Left Anterior Minithoracotomy in Octogenarians. J. Cardiovasc. Dev. Dis. 2025, 12, 487. DOI: https://doi.org/10.3390/jcdd12120487

 

3) Enabling Techniques and Technology (Perfusion Strategy / Clamping)

  • Sellin C, Dörge H, Massoudy P, Liebold A, Balan R (2024). Endo-Aortic Clamping with the IntraClude® Device in Minimally Invasive Total Coronary Revascularization via Left Anterior Thoracotomy (TCRAT). J. Clin. Med. 2024, 13, 5891. DOI: https://doi.org/10.3390/jcm13195891
  • Sellin C, Belmenai A, Demianenko V, Grossmann M, Dörge H (2025). Direct Axillary Artery Cannulation as Standard Perfusion Strategy in Minimally Invasive Coronary Artery Bypass Grafting. J. Cardiovasc. Dev. Dis. 2025, 12(1), 31. DOI: https://doi.org/10.3390/jcdd12010031

 

4) Selective Combined Procedures via Left Anterior Minithoracotomy

    • Sellin C, Belmenai A, Asch S, Voß M, Dörge H (2023). Novel concept of less invasive concomitant surgical aortic valve replacement and coronary artery bypass grafting avoiding full median sternotomy. Heart and Vessel. DOI: 10.1007/s00380-023-02281-6.
    • Demianenko V, Dörge H, Grossmann M, Sellin C (2025). Minimally Invasive Combined Aortic Valve Replacement and Coronary Artery Bypass Grafting Through Left Anterior Minithoracotomy. Innovations 2025; 00(0):1–3. DOI: https://doi.org/10.1177/15569845251339187
    • Demianenko V, Dörge H, Grossmann M, Sellin C (2025). Combined Aortic Valve and Coronary Surgery via Left Anterior Minithoracotomy: Clinical Experience With Sutureless Bioprosthesis. CTSNet (Nov 20, 2025). DOI: 10.25373/ctsnet.30657824. (Publication incl. video)
    • Demianenko V, Doerge H, Grossmann M, Belmenai A, Schlömicher M, Sellin C (2025). Mitral Valve Procedures and Multivessel CABG through a Single Left Anterior Minithoracotomy. Thorac Cardiovasc Surg. 2025 Dec 5. DOI: 10.1055/a-2765-7072. (Publication incl. video)
    • Oleksandr Babliak, Volodymyr Demianenko, Dmytro Babliak, Anton Marchenko, Yevhenii Melnyk, Oleksii Stohov (2024). New approach for combined aortic valve and coronary procedures through the left anterior minithoracotomy. Interdisciplinary CardioVascular and Thoracic Surgery, Volume 38, Issue 1, January 2024, ivad214. DOI: https://doi.org/10.1093/icvts/ivad214
    • Oleksandr Babliak, Vasyl Lazoryshynets, Volodymyr Demianenko, Dmytro Babliak, Anton Marchenko, Katerina Revenko, Yevhenii Melnyk, Oleksii Stohov, Liliya Pidgayna (2024). New approach to the mitral valve through the left anterior minithoracotomy for combined valve and coronary surgical procedures. JTCVS Techniques, Volume 24, P57–63, April 2024. DOI: https://doi.org/10.1016/j.xjtc.2023.11.015

       

      5) Educational Media

        • Babliak, Dmytro; Babliak, Oleksandr; Demianenko, Volodymyr; Marchenko, Anton (2021). Routine Minimally Invasive Multivessel Coronary Revascularization in Obese Patients. CTSNet Media. DOI: https://doi.org/10.25373/ctsnet.14346683.v2
        • Oleksandr Babliak (2024). SCTS 2024 | “How to Start Routine Minimally Invasive CABG”. CTSNet. (Publication)
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