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Johanna Fifi

  • ASSISTANT PROFESSOR Neurology
  • ASSISTANT PROFESSOR Neurosurgery
  • ASSISTANT PROFESSOR Radiology
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Specialty

Certifications

  • Vascular Neurology

  • Neurology, American Board of Psychiatry and Neurology

Clinical Focus

Education

  • 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

Biography

    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.

Awards

  • 2015 - 2016
    Super Doctors

  • 2015 - 2015
    Top Doctors

Publications

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, Wakhloo A, Gupta R, Kirshner H, Eliasziw M, Thomas Megerian J, Shetty S, Yoklavich Guilhermier M, Barnwell S, Smith WS, Gress DR, Hussain MS, Ansari SA, Hirsch JA, Kelly M, Rasmussen P, Mack W, Pride GL, Alexander MJ, Jayaraman MV. Design of the Vitesse Intracranial Stent Study for Ischemic Therapy (VISSIT) trial in symptomatic intracranial stenosis. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association 2013 Oct; 22(7).

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).

Paramasivam S, Leesch W, Fifi J, Ortiz R, Niimi Y, Berenstein A. Iatrogenic dissection during neurointerventional procedures: a retrospective analysis. Journal of neurointerventional surgery 2012 Sep; 4(5).

Berenstein A, Fifi JT, Niimi Y, Presti S, Ortiz R, Ghatan S, Rosenn B, Sorscher M, Molofsky W. Vein of Galen malformations in neonates: new management paradigms for improving outcomes. Neurosurgery 2012 May; 70(5).

Fifi J, Niimi Y, Berenstein A, Leesch W, Ewing SL, Bennet H, Berenstein A, Chong J. Onyx embolization of an extensive mandibular arteriovenous malformation via a dual lumen balloon catheter: a technical case report. Journal of neurointerventional surgery 2013 Mar; 5(2).

Froehler MT, Fifi JT, Majid A, Bhatt A, Ouyang M, McDonagh DL. Anesthesia for endovascular treatment of acute ischemic stroke. Neurology 2012 Sep; 79(13 Suppl 1).

Berenstein A, Ortiz R, Niimi Y, Elijovich L, Fifi J, Madrid M, Ghatan S, Molofsky W, Kirshner H, Eliasziw M, Thomas Megerian J, Shetty S, Yoklavich Guilhermier M, Barnwell S, Smith WS, Gress DR. Endovascular management of arteriovenous malformations and other intracranial arteriovenous shunts in neonates, infants, and children. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery 2010 Oct; 26(10).

Industry Relationships

Physicians and scientists on the faculty of the Icahn School of Medicine at Mount Sinai often interact with pharmaceutical, device and biotechnology companies to improve patient care, develop new therapies and achieve scientific breakthroughs. In order to promote an ethical and transparent environment for conducting research, providing clinical care and teaching, Mount Sinai requires that salaried faculty inform the School of their relationships with such companies.

Below are financial relationships with industry reported by Dr. Fifi during 2015 and/or 2016. Please note that this information may differ from information posted on corporate sites due to timing or classification differences.

Other Activities: Examples include, but are not limited to, committee participation, data safety monitoring board (DSMB) membership.

  • MicroVention

Equity (Stock or stock options valued at greater than 5% ownership of a publicly traded company or equity of any value in a privately held company)

  • Lazarus Effect

Mount Sinai's faculty policies relating to faculty collaboration with industry are posted on our website. Patients may wish to ask their physician about the activities they perform for companies.

Insurance Information

Physicians who provide services at hospitals and facilities in the Mount Sinai Health System might not participate in the same health plans as those Mount Sinai hospitals and facilities (even if the physicians are employed or contracted by those hospitals or facilities).

Information regarding insurance participation and billing by this physician may be found on this page, and can also be obtained by contacting this provider directly. Because physicians insurance participation can change, the insurance information on this page may not always be up-to-date. Please contact this physician directly to obtain the most up-to-date insurance information.

Insurance and health plan networks that the various Mount Sinai Health System hospitals and facilities participate in can be found on the Mount Sinai Health System website.

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Tel: 212-241-3400
Fax: 646-537-2299
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