Mount Sinai is home to the world’s leading physicians in pediatric vascular malformations of the brain, head and neck, spine, and spinal cord. In 2021, the pediatric cerebrovascular team treated 144 cases (118 in children 18 and younger, and 26 in young adults 18 to 21 years of age).
Dr. Fifi is newly named Co-Director of the Department of Neurosurgery’s Pediatric Cerebrovascular Disorders Program at Kravis Children’s Hospital. She partners with internationally renowned Co-Director Alejandro Berenstein, MD, in overseeing a highly recognized program in diagnosing, managing, treating, and researching brain vascular malformations (including vein of Galen malformations), head and neck vascular malformations, aneurysms, and occlusive vascular diseases. Dr. Fifi is also Associate Professor of Neurosurgery, Neurology, and Diagnostic, Molecular and Interventional Radiology at the Icahn School of Medicine at Mount Sinai, and Associate Director of the Cerebrovascular Center.
The patient was transferred from outside the country for treatment at Mount Sinai, where imaging revealed the dilated sinus, measuring 8.1 by 4.9 by 6.4 centimeters, accompanied by increased thrombus in the sinus with intraventricular hemorrhage, areas of parenchymal damage, and continued hydrocephalus.
Common carotid artery angiograms showed multiple bilateral arterial feeding arteries, including the middle meningeal parietal branches, occipital artery transosseous branches, and posterior meningeal branches. The fistulas entered the malformation around the region of the torcula.
Watch the video case presentation here.
The team’s most recent published work includes:
Transvenous embolization of vein of galen aneurysmal malformations using the "Chapot pressure cooker" technique Interventional Neuroradiology
Safety of the APOLLO Onyx delivery microcatheter for embolization of brain arteriovenous malformations: results from a prospective post-market study Journal of NeuroInterventional Surgery
Pediatric diagnostic cerebral angiography: practice recommendations from the SNIS Pediatric Committee Journal of NeuroInterventional Surgery
Combined Treatment of High-FlowScalp Arteriovenous Malformations Journal of Craniofacial Surgery