 
            
              Shan Modi
            
            @RealShanModi
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              @UTAustin ‘13 || @utmbhealth ‘17 ||@TamingtheSRU ‘21 || @PittCCM '23|| Cardiothoracic Intensivist @AHN_CVI || Amateur Twitterist
              
              Joined July 2010
            
            
           Looking forward to an exciting conference on Cardiogenic Shock and engaging discussions with the thought leaders in this field. @tonkhueMdPhd @JumeanMarwan @aniket_rali and Katherine Wood. @AHN_CVI Join us this Saturday, at the Fairmont hotel in downtown Pittsburgh. 
          
                
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             ECPR improves outcomes in refractory OHCA, but most patients never reach an ECMO center in time. 📍New systems are expanding access by initiating ECPR in the prehospital 🚑🚁 or non-ECMO center setting. But what happens after cannulation? 🧵👇 (1/5) 
          
                
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             Milestone achievement! Dr. Candice Lee performed the 100th pulmonary thrombectomy to treat CTEPH. #CandiceLeeMD #AmreshRainaMD #HayahKassisGeorgeMD @barnes_kileigh @AHNtoday Read the full story:  https://t.co/SMDVNg2w80 
          
          
                
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             Excited to represent my program @AHNIMres and share our research on mental health outcome in ECMO survivors at #CHEST2025 as an oral presentation ! Grateful for all the support and guidance from the mentors at @AHNidccm @ahnpccm @PjTiberio @RealShanModi
          
          
                
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             Happy for the opportunity to collaborate with @manreetkanwar on an editorial in Circulation: Heart Failure— Survival isn’t the finish line: Most disability among VA-ECMO survivors emerges within the first 6 months post-cannulation — discharge is only the start of recovery! 
           Forgotten After Discharge? ECMO Patients Deserve Better @RealShanModi #AHAJournals
            
          
                
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             Also, the @AHNtoday way lol @ranga1949 @tjvandyck @RealShanModi @AHN_CVI @AHNCVFellows, since you know, they used our ER to make this look so smooth. Thanks for the inspiration @DYannopoulos
          
          
                
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             Honor and a privilege to work with these folks. @ranga1949 @RealShanModi @tjvandyck @KhandelwalMD @AHN_CVI
          
           The Allegheny General Hospital extracorporeal membrane oxygenation (ECMO) team has been designated a Platinum Level Center of Excellence, one of just 18 centers in the country recognized by @ELSOOrg for the highest level of life support care. Congratulations, team! 
            
                
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             Excited to publish our ambulatory protocol for pVA-ECMO and femoral IABP from @AHN_CVI Main Points: ⭐️ Ambulation is feasible and can improve prehabilitation for advanced therapies ⭐️ Multidisciplinary team required for success 🔓  https://t.co/jjQ2hU9WpN 
          
          
                
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             Allegheny General Hospital, City of Pittsburgh EMS Join Forces to Introduce New Resuscitation Protocol for Out-of-Hospital Cardiac Arrest Incidents @AHNtoday
             https://t.co/be9hO0wzDz 
          
          
                
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             Shock transport by @RealShanModi Checklist: 1️⃣Pre-Transport: shock team, 1️⃣ person leads, only essentials 2️⃣Modality: 🚁 may not be the best choice, need training for MCS transport 3️⃣Facility: stay in contact, prep the room 4️⃣Follow-up: debrief with the transferring 🏥 
          
                
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             Dysfunction in PMP #ECMO membrane lungs 🔎 retrospective analysis including 19 pts supported with 3 different MLs ⚙️ radial flow ML prone to higher resistance & lower post-ML PaO2 vs transverse 💨 no significant difference in O2 transfer 🖇️  https://t.co/xtXQuEijME 
          
          
                
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             Comparative analysis of oxygenator dysfunction in PMP oxygenators 🫁 AMG, Nautilus Smart, Quadrox/Cardiohelp ⭐️No difference in O2 transfer ⭐️Radial flow ML have higher R to Q and lower Ppost-oxy O2 @RealShanModi @brandalo227 @FOAMecmo
             https://t.co/8FMwt6mxJS 
          
          
                
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             We are so proud of the class of 2024 - they loved training so much that 11 of the 14 are going for more, with 5 of those in #CritCare Congratulations @Courtney_Kein @JoshFerreri @LEGillespie3 @Bron_Winning
          
          
                
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             The wave of the future is HEMS transport for ECPR— amazing work from the HEMS/ECMO expert @laertezz and the @TamingtheSRU alumni 
           🚑 🚁 Prehospital based #ECPR reduce barriers to #ECLS, potentially improving #OHCA survival! GIS model demonstrating 2-fold ⬆️ in #ECMO eligibility for field-deployable ground-based system & 4-fold ⬆️ for HEMS-based system vs 🇺🇸 hospital-based system 🖇️  https://t.co/BY6dAA9oMP 
            
            
                
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             See what researchers from @UPMC found when analyzing survival outcomes after concomitant use of extracorporeal membrane oxygenation and percutaneous microaxial assist device support for cardiogenic shock in #JTCVS Open:  https://t.co/8ox6XgrtPS 
          
          
                
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             A form of MCS frequently encountered both in-hospital and in the critical care transport environment: the intra-aortic balloon pump🫀🎈 In our @MyJSCAI article, we present the applications, physiology, practical troubleshooting, and transport specifics  https://t.co/bcNHHOsZZ0 
          
          
                
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             🚨VV ECMO candidacy decisions are not consistent! They generally should be. Just out in @journal_CHEST - the first output of the newly formed EC-YES international study group analyzing the quality of ECMO candidacy decision-making. 🧵 (1/7)  https://t.co/SIJQkhPoYI 
          
          
                
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             Amazing job @McKenzieSicke! Definitely highlights the needs to start discussions for advanced therapies early in any patient that has tMCS, especially those with pVADs 
           Many patients on Impella not eligible for AT. Discussions prior to implant and focus on recovery are key in temporary MCS! #Cardshockteams #THT2024
              @McKenzieSicke @Raj__Ramanan @RealShanModi @CatalinPToma @EHornPharmD @HviUpmc @PittCardiology @ProcircaECMO
              @manreetkanwar
            
          
                
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