Xavier Freixa

Xavier Freixa Rofastes

Interventional cardiologist / Cardiologist
Clinical and Provincial Hospital of Barcelona - Barcelona, Spain

Latest contributions

PCR Tricuspid Focus Group - Referral Meeting en Barcelona

23 Jun 2025

Join your peers for this meeting on 10 October 2025 in Barcelona, Spain!

LAAC: current and future indications

03 Jun 2025

Watch the replay of this webinar and learn about the evidence (current guidelines and indications) for LAAC in 2025, and so much more!

Optimal use of cardiac imaging to plan and guide transcatheter LAA closure

22 May 2025 – From EuroPCR 2025

Optimize left atrial appendage (LAA) closure outcomes through expert use of cardiac imaging. This session details the role of various imaging modalities in pre-procedural planning, intraprocedural guidance, and post-procedural assessment. Gain practical insights on transesophageal echocardiography, computed tomography, intracardiac echocardiography, and their integration to enhance procedural...

Optimal use of cardiac imaging to plan and guide transcatheter LAA closure

TEER for challenging anatomy: from myth to reality

21 May 2025 – From EuroPCR 2025

Explore advanced TEER techniques for challenging anatomies. This session covers indications, periprocedural steps, state-of-the-art procedural methods, and management of failed surgical tricuspid annuloplasty, with case discussions highlighting practical learnings for complex mitral and tricuspid interventions.

TEER for challenging anatomy: from myth to reality

Case-based learning on different aspects of transcatheter LAA closure

21 May 2025 – From EuroPCR 2025

Engage in case-based learning focused on transcatheter left atrial appendage (LAA) closure. This session covers safe transseptal puncture techniques, state-of-the-art standard LAA closure procedures, management of challenging LAA anatomies, and optimization of post-procedure antithrombotic therapy in high-risk patients.

Case-based learning on different aspects of transcatheter LAA closure

Navigating LAA closure in retrobend chicken-wing anatomy

07 Mar 2025

A 76-year-old female patient with a history of atrial fibrillation and contraindication to long-term anticoagulation presents for left atrial appendage closure. However, preprocedural imaging reveals a challenging retrobend chicken-wing morphology. What is the best technique to optimize positioning and ensure safe, effective closure in this scenario?

Adel Aminian

Author

Adel Aminian
Xavier Freixa

Author

Xavier Freixa Rofastes
Dr Philippe Garot

Author

Philippe Garot

Tricuspid transcatheter edge-to-edge repair - The fundamentals

25 Nov 2024 – From PCR London Valves 2024

Ready to dive into tricuspid transcatheter edge-to-edge repair (TEER)? This video breaks down the procedure by exploring real-world cases and key techniques.

Through practical case presentations, you'll gain insights into the anatomical criteria that determine suitability for TEER, the importance of imaging and haemodynamic assessments and the...

Tricuspid transcatheter edge-to-edge repair - The fundamentals

Innovation never stops: Cardiovalve in action!

24 Nov 2024 – From PCR London Valves 2024

Join us as we explore the latest advancements in transcatheter tricuspid valve replacement technologies. This session develops the anatomical and imaging challenges associated with this rapidly developing clinical field and provides an update on the Cardiovalve tricuspid clinical program, illustrated by a recorded case.

Innovation never stops: Cardiovalve in action!

Featured cases - Challenging tricuspid interventions (Part 2)

24 Nov 2024 – From PCR London Valves 2024

Dive into this session showcasing a diverse array of challenging tricuspid interventions from the PCR London Valves 2024 Clinical Cases submissions. Discover complex cases involving TTVR in a transplanted heart, recurrent tricuspid regurgitation after T-TEER, and an extremely difficult tricuspid valve-in-valve implantation. Gain insights on navigating...

Featured cases - Challenging tricuspid interventions (Part 2)

LAA occlusion in reverse chicken-wing

04 Nov 2024

Discover the case of an 82-year-old female with cardiovascular risk factors including hypertension and diabetes (managed with oral antidiabetics), permanent non-valvular atrial fibrillation, who presented with recurrent episodes of epistaxis while on anticoagulants...

Adel Aminian

Author

Adel Aminian
Xavier Freixa

Author

Xavier Freixa Rofastes
Dr Philippe Garot

Author

Philippe Garot

Is this patient a good candidate for Left Atrial Appendage Closure? An interactive rapid-fire discussion

16 May 2024 – From EuroPCR 2024

This interactive session focuses on selecting good candidates for left atrial appendage (LAA) closure procedures. It covers the key clinical elements driving the indication for LAA closure and the technical elements that make a case complex. Through a series of case presentations and discussions, the session...

Is this patient a good candidate for Left Atrial Appendage Closure? An interactive rapid-fire discussion

How to achieve optimal results in tricuspid valve interventions?

15 May 2024 – From EuroPCR 2024

How to achieve optimal results in tricuspid valve interventions?

Heterotopic tricuspid valves: to who, when and how?

15 May 2024 – From EuroPCR 2024

Watch this session to gain comprehensive insights into the use, safety, and efficacy of heterotopic tricuspid valves. Learn to identify ideal candidates with severe tricuspid regurgitation, understand key procedural factors for successful implantation, and receive tips on valve systems and anatomy. The session also includes...

Heterotopic tricuspid valves: to who, when and how?

How to manage paravalvular leaks?

04 Jan 2024 – From PCR London Valves 2023

Invited to talk about paravalvular leaks, Grzegorz Smolka, Patrick Calvert and Xavier Freixa begin by placing the subject in context, mentioning the frequency with which it is encountered in general practice.

Then, they distinguish between patients likely to benefit from paravalvular leak closure via transcatheter and those...

How to manage paravalvular leaks? - PCR London Valves 2023

Mitral valve intervention in complex scenarios - Transcatheter paravalvular leak closure

21 Nov 2023 – From PCR London Valves 2023

Everything you need to know about mitral PVL and transcatheter closure is outlined in this session: clinical implications, indications for transcatheter closure, role of imaging, necessary access and equipment, and even tips for difficult anatomies.

Mitral valve intervention in complex scenarios - Transcatheter paravalvular leak closure

EuroPCR 2023 Hotlines/Late-Breaking Trials: TAVI, hypertension, stroke prevention

17 May 2023 – From EuroPCR 2023

Want to find out what's happened lately in the field of hypertension and stroke prevention with TAVI? Check out this session where speakers give their take on what's essential to remember from a selection of studies: Primary outcome of the AnchorMan LAAO device randomised controlled trial...

Trials summaries on TAVI, hypertension and stroke prevention

Heterotopic valve replacement for patients with right heart failure and tricuspid regurgitation - All you need to know!

17 May 2023 – From EuroPCR 2023

Discover the comprehensive guide to heterotopic valve replacement for patients experiencing right heart failure and tricuspid regurgitation. Join this session to gain insights into patient selection criteria, delve into the concept behind this innovative procedure, and grasp the fundamental aspects of its execution.

Percutaneous LAA closure 2.0

17 May 2023 – From EuroPCR 2023

In these slides, delve into advanced Percutaneous LAA Closure 2.0. Optimise procedure planning, grasp key post-procedural follow-up aspects, master essential tips for WatchmanFLX and Amulet device implantation, and much more.

Percutaneous LAA closure 2.0

Tricuspid valve intervention - Get it right!

29 Nov 2022 – From PCR London Valves 2022

Watch this session if you want to learn tips and tricks that influence procedural strategy through a real-life case as well as anatomical factors that contribute to tricuspid valve complexity and choice of treatment, followed by the latest clinical data.

PFO closure: LIVE case

19 May 2022 – From EuroPCR 2022

Watch a PFO occlusion case LIVE from Barcelona, Spain, and learn about the treatment of this 60-year-old man, with no CV risk factors, currently asymptomatic, who suffered an ischemic stroke in March 2022 after Valsalva, diplopia, dysarthria, and brachial right paresis, as well as acute bilateral thalamic...

PFO closure: LIVE case

Imaging in LAA occlusion: from planning to final assessment

19 May 2022 – From EuroPCR 2022

Consult this session to learn about imaging supporting LAA occlusion procedure, how to combine different imaging techniques to guide this intervention and their value for procedure planning.

TAVI in unusual clinical situations

19 Nov 2019 – From PCR London Valves 2019

Consult this session to discover various interesting cases, involving TAVI in unusual clinical situations, such as in long-term ventricular assist device supported patient, in pure aortic regurgitation and advanced liver and kidney failure, and more!

TAVI in unusual clinical situations