Johanna T Fifi, MD
- ASSISTANT PROFESSOR | Neurology
- ASSISTANT PROFESSOR | Neurosurgery
- ASSISTANT PROFESSOR | Radiology
Research Topics:Brain Imaging, Stroke
Johanna T. Fifi, MD, is a board-certified neuroendovascular surgeon, Assistant Professor of Neurology, Neurosurgery, and Radiology, and Director of the Endovascular Stroke Program in the Mount Sinai Health System. She specializes in the endovascular treatment of cerebrovascular disorders including stroke, intracranial and carotid stenosis, brain aneurysms, arteriovenous malformations and fistulas of the brain and spine, pre-operative embolization of tumors, as well as craniofacial vascular lesions in adults and children. She sees patients in the Cerebrovascular Center in Klingenstein Clinical Center, at 1450 Madison Avenue. Dr. Fifi was born in Trinidad, British West Indies. She attended high school in Florida and was subsequently awarded a full four year Trustee Scholarship at Boston University. During college, she was accepted into a combined program to complete studies in biomedical engineering and medicine at Boston University School of Medicine. In 2000, she moved to Philadelphia to perform her medicine internship and neurology residency at Thomas Jefferson University Hospital. From 2004 to 2006, Dr. Fifi was a clinical fellow in stroke and cerebrovascular disorders at the National Institutes of Health (NIH) in Bethesda, Maryland. While at the NIH, she was co-investigator of several phase II and phase III clinical trials for treatment of acute ischemic stroke. Dr. Fifi then trained in Interventional Neuro-Radiology at Washington Hospital Center and at Columbia University. After her neurointerventional training, Dr. Fifi completed further studies of pediatric neurointervention under the tutelage of Alejandro Berenstein, MD at Mount Sinai West. During this period, she was invited to join the Neuroendovascular group as a staff physician where she has developed a clinical practice taking care of patients with vascular disorders of the brain, spine, and head and neck. Dr. Fifi continues her clinical research as investigator in several multi-center trials. Dr. Fifi has published her research in peer reviewed journals and presented her work at national and international meetings, including the International Stroke Conference. She is a member of the American Stroke Association, Society for Vascular and Interventional Neurology (SVIN), and Society of NeuroInterventional Surgery. She is currently a member of the national board of the SVIN. She is an elected fellow of both the American Heart Association and the SVIN. Dr. Fifi specializes in the endovascular treatment of cerebrovascular disorders including acute stroke, stenosis of blood vessels of the head and neck, brain aneurysms, arteriovenous malformations of the head and spine, as well as craniofacial vascular lesions in both adults and children.
Neurology, American Board of Psychiatry and Neurology
- Aneurysm Coiling
- Arteriovenous Malformations
- Balloon Test Occlusion
- Brain Aneurysm
- Carotid Artery Stenosis
- Carotid Stenting
- Cavernous Malformations
- Dural Arteriovenous Malformations
- Facial Arteriovenous Malformations
- Facial Vascular Malformations
- Intracerebral Hemorrhage (ICH)
- Intracranial Stenting
- Lymphatic Malformations
- Mechanical Thrombectomy
- Pediatric Interventions
- Spinal Vascular Malformations
- Subarachnoid Hemorrhage
- Transient Ischemic Attack
- Vascular Malformations
- Vein of Galen Malformations
- Venous Sampling
- Vertebral Stenosis
MD, Boston University Medical Center
Internship, Internal Medicine, Thomas Jefferson University Hospital
Residency, Neurology, Thomas Jefferson University Hospital
Fellowship, Neurology/NIH, National Institute of Neurological Disorders and Stroke
Fellowship, Neuroradiology, Washington Hospital Center
Fellowship, Neuroradiology, Columbia University Medical Center
- Retrospective Review of Cerebral Aneurysms Treated via Coil Embolization
Coil embolization is an established treatment option for those with cerebral aneurysms. Treatment requires the use of multiple coils to occlude the aneurysm. Over time due to compaction of the coils recanalization of the aneurysm occurs and patients may require retreatment. We...
- Framing Eighteen Coils in Cerebral Aneurysm Trial (FEAT)
FEAT will be a prospective, randomized trial comparing the utilization of 0.014-0.0155" coils versus smaller diameter coils in mid-sized aneurysm treatment. The 0.014-0.0155" bare platinum coils (Stryker, Natick, MA) are FDA-approved and in common use at institutions in this c...
- The BARREL Study - Prospective Multi-Center Single-Arm Study of the Reverse Medical Barrel™ VRD for Adjunctive Treatment to Embolic Coils for Wide-neck, Intracranial, Bifurcating/Branching Aneurysms of Middle Cerebral and Basilar Arteries
The BARREL Study is a prospective multi-center, single-arm study of the Barrel Vascular Reconstruction Device (VRD). This study's purpose is to evaluate the safety and effectiveness of implanting the Barrel VRD in addition to the coiling treatment of a wide neck bifurcating an...
Mascitelli JR, Wilson N, Shoirah H, De Leacy RA, Furtado SV, Paramasivam S, Oermann EK, Mack WJ, Tuhrim S, Dangayach NS, Meyer SA, Bederson JB, Mocco J, Fifi JT. The impact of evidence: evolving therapy for acute ischemic stroke in a large healthcare system. Journal of neurointerventional surgery 2016 Jan;.
Paramasivam S, Altschul D, Ortega-Gutiarrez S, Fifi J, Berenstein A, Paramasivam S, Oermann EK, Mack WJ, Tuhrim S, Dangayach NS, Meyer SA, Bederson JB, Mocco J, Fifi JT. N-butyl cyanoacrylate embolization using a detachable tip microcatheter: initial experience. Journal of neurointerventional surgery 2014 Apr;.
Kidwell CS, Jahan R, Gornbein J, Alger JR, Nenov V, Ajani Z, Feng L, Meyer BC, Olson S, Schwamm LH, Yoo AJ, Marshall RS, Meyers PM, Yavagal DR, Wintermark M, Guzy J, Starkman S, Saver JL. A trial of imaging selection and endovascular treatment for ischemic stroke. The New England journal of medicine 2013 Mar; 368(10).
Oomen KP, Paramasivam S, Waner M, Niimi Y, Fifi JT, Berenstein A, O TM, Sorscher M, Molofsky W. Endoscopic transmucosal direct puncture sclerotherapy for management of airway vascular malformations. The Laryngoscope 2016 Jan; 126(1).
Altschul D, Paramasivam S, Ortega-Gutierrez S, Fifi JT, Berenstein A, Ajani Z, Feng L, Meyer BC, Olson S, Schwamm LH, Yoo AJ, Marshall RS, Meyers PM, Yavagal DR, Wintermark M, Guzy J, Starkman S, Saver JL. Safety and efficacy using a detachable tip microcatheter in the embolization of pediatric arteriovenous malformations. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery 2014 Jun; 30(6).
Mascitelli JR, Oermann EK, Mocco J, Fifi JT, Paramasivam S, Stapleton CJ, Patel AB. Predictors of success following endovascular retreatment of intracranial aneurysms. Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences 2015 Aug; 21(4).
Shwe Y, Paramasivam S, Ortega-Gutierrez S, Altschul D, Berenstein A, Fifi JT. High-flow carotid cavernous fistula and the use of a microvascular plug system: initial experience. Interventional neurology 2015 Mar; 3(2).
Gandhi CD, Bulsara KR, Fifi J, Kass-Hout T, Grant RA, Delgado Almandoz JE, English J, Meyers PM, Abruzzo T, Prestigiacomo CJ, Powers CJ, Lee SK, Albani B, Do HM, Eskey CJ, Patsalides A, Hetts S, Hussain MS, Ansari SA, Hirsch JA, Kelly M, Rasmussen P, Mack W, Pride GL, Alexander MJ, Jayaraman MV. Platelet function inhibitors and platelet function testing in neurointerventional procedures. Journal of neurointerventional surgery 2014 Oct; 6(8).
Saver JL, Jahan R, Levy EI, Jovin TG, Baxter B, Nogueira R, Clark W, Budzik R, Zaidat OO, Powers CJ, Lee SK, Albani B, Do HM, Eskey CJ, Patsalides A, Hetts S, Hussain MS, Ansari SA, Hirsch JA, Kelly M, Rasmussen P, Mack W, Pride GL, Alexander MJ, Jayaraman MV. SOLITAIRE™ with the intention for thrombectomy (SWIFT) trial: design of a randomized, controlled, multicenter study comparing the SOLITAIRE™ Flow Restoration device and the MERCI Retriever in acute ischaemic stroke. International journal of stroke : official journal of the International Stroke Society 2014 Jul; 9(5).
Paramasivam S, Niimi Y, Fifi J, Berenstein A, Berenstein A. Onyx embolization using dual-lumen balloon catheter: initial experience and technical note. Journal of neuroradiology. Journal de neuroradiologie 2013 Oct; 40(4).
Altschul D, Paramasivam S, Ortega-Gutierrez S, Fifi JT, Berenstein A, Stapleton CJ, Patel AB. Safety and efficacy using a detachable tip microcatheter in the embolization of pediatric arteriovenous malformations. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery 2014 Jun; 30(6).
Fifi JT, Brockington C, Narang J, Leesch W, Ewing SL, Bennet H, Berenstein A, Chong J. Clopidogrel resistance is associated with thromboembolic complications in patients undergoing neurovascular stenting. AJNR. American journal of neuroradiology 2013 Apr; 34(4).
Paramasivam S, Altschul D, Ortega-Gutiarrez S, Fifi J, Berenstein A, Fifi JT. N-butyl cyanoacrylate embolization using a detachable tip microcatheter: initial experience. Journal of neurointerventional surgery 2014 Apr;.
Zaidat OO, Castonguay AC, Fitzsimmons BF, Woodward BK, Wang Z, Killer-Oberpfalzer M,