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Pacemaker lead removal has been done by way of newer percutaneous techniques with use of locking stylets, sheaths, and countertraction, which have supplanted older methods such as manual or weighted traction, and obviated the use of cardiac surgery with its attendant cost and risks. 1–7 Infection has been the standard indication for lead extraction, but in recent years newer indications have emerged. 5, 8, 9 The locking stylet has been the main extraction tool of any system used. 1, 5 In the most widely used extraction system—the Cook locking stylet system (Cook Vascular, Inc., Leechburg, Pennsylvania)—the locking mechanism is traditionally effected through a tedious process of exact size matching. In the present study, a novel lead extraction system, the VascoExtor system (VascoMed GmbH, Weil am Rhein, Germany), utilizing only 3 standard types of universally applied stylets, was tested during …