\documentclass[10pt]{article}

\usepackage{fullpage}
\usepackage{setspace}
\usepackage{parskip}
\usepackage{titlesec}
\usepackage[section]{placeins}
\usepackage{xcolor}
\usepackage{breakcites}
\usepackage{lineno}
\usepackage{hyphenat}





\PassOptionsToPackage{hyphens}{url}
\usepackage[colorlinks = true,
            linkcolor = blue,
            urlcolor  = blue,
            citecolor = blue,
            anchorcolor = blue]{hyperref}
\usepackage{etoolbox}
\makeatletter
\patchcmd\@combinedblfloats{\box\@outputbox}{\unvbox\@outputbox}{}{%
  \errmessage{\noexpand\@combinedblfloats could not be patched}%
}%
\makeatother


\usepackage{natbib}




\renewenvironment{abstract}
  {{\bfseries\noindent{\abstractname}\par\nobreak}\footnotesize}
  {\bigskip}

\titlespacing{\section}{0pt}{*3}{*1}
\titlespacing{\subsection}{0pt}{*2}{*0.5}
\titlespacing{\subsubsection}{0pt}{*1.5}{0pt}


\usepackage{authblk}


\usepackage{graphicx}
\usepackage[space]{grffile}
\usepackage{latexsym}
\usepackage{textcomp}
\usepackage{longtable}
\usepackage{tabulary}
\usepackage{booktabs,array,multirow}
\usepackage{amsfonts,amsmath,amssymb}
\providecommand\citet{\cite}
\providecommand\citep{\cite}
\providecommand\citealt{\cite}
% You can conditionalize code for latexml or normal latex using this.
\newif\iflatexml\latexmlfalse
\providecommand{\tightlist}{\setlength{\itemsep}{0pt}\setlength{\parskip}{0pt}}%

\AtBeginDocument{\DeclareGraphicsExtensions{.pdf,.PDF,.eps,.EPS,.png,.PNG,.tif,.TIF,.jpg,.JPG,.jpeg,.JPEG}}

\usepackage[utf8]{inputenc}
\usepackage[english]{babel}



\usepackage{float}








\begin{document}

\title{Process Mapping Strategies to Prevent Subcutaneous Implantable
Cardioverter-Defibrillator Infection}



\author[1]{Raul Weiss}%
\author[2]{George Mark}%
\author[3]{Mikhael El-Chami}%
\author[4]{Mauro Biffi}%
\author[5]{VINCENT PROBST}%
\author[6]{Pier Lambiase}%
\author[7]{Marc Miller}%
\author[8]{Timothy McClernon}%
\author[9]{Linda Hansen}%
\author[10]{Bradley Knight}%
\author[11]{Larry Baddour}%
\affil[1]{Ohio State University}%
\affil[2]{Cooper University Health Care}%
\affil[3]{Emory University}%
\affil[4]{University of Bologna}%
\affil[5]{l'institut du thorax, CHU de Nantes}%
\affil[6]{Barts Heart Centre, Barts Health NHS trust }%
\affil[7]{Mount Sinai School of Medicine}%
\affil[8]{People Architects}%
\affil[9]{Inari Medical Inc}%
\affil[10]{Northwestern University}%
\affil[11]{Mayo Clinic}%


\vspace{-1em}



  
  \date{May 29, 2024}


\begingroup
\let\center\flushleft
\let\endcenter\endflushleft
\maketitle
\endgroup





\selectlanguage{english}
\begin{abstract}
Background: Infection remains a major complication of cardiac
implantable electronic devices (CIEDs) and can lead to significant
morbidity and mortality. Extrathoracic devices that avoid epicardial or
transvenous leads, such as the subcutaneous implantable
cardioverter-defibrillator (S-ICD), can reduce the risk of serious
infection-related complications, such as bloodstream infection and
infective endocarditis. While the 2017 AHA/ACC/HRS guidelines include
recommendations for S-ICD use for patients at high risk of infection,
currently, there are no clinical trial data that address best practices
for the prevention of S-ICD infections. Therefore, an expert panel was
convened to develop consensus on these topics. Methods: An expert
process mapping methodology was used to achieve consensus on the
appropriate steps to minimize or prevent S-ICD infections. Two
face-to-face meetings of high-volume S-ICD implanters and an infectious
diseases specialist, with expertise on cardiovascular implantable
electronic device infections, were conducted to develop consensus on
useful strategies pre-, peri-, and post-implant to reduce S-ICD
infection risk. Results: Expert panel consensus of recommended steps for
patient preparation, S-ICD implantation, and post-operative management
were developed to provide guidance in individual patient management.
Conclusion: Achieving expert panel consensus by process mapping
methodology for S-ICD infection prevention was attainable, and the
results should be helpful to clinicians in adopting interventions to
minimize risks of S-ICD infection.%
\end{abstract}%



\sloppy




\selectlanguage{english}
\FloatBarrier
\end{document}

