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MANOLIS, A.S., et al.: Ancillary Tools in Pacemaker and Defibrillator Lead Extraction Using a Novel Lead Removal System. A previous report described our preliminary experience with a highly successful pacing lead removal system (VascoExtor). Extending this experience, we found it necessary to use additional tools to enhance the success of percutaneous lead extraction with this system. In the present series, we used the standard locking stylets (S and K), and recently, one newer type of stylet (Magic) over the last 3 years in 34 patients to extract 48 pacemaker leads in 31 patients and 3 defibrillator (ICD) leads in 3 patients. Lead extraction was carried out in 23 men and 11 women () because of pacemaker infection (), pacemaker () or ICD () lead malfunction, or prior to ICD implant (). Leads were in place for years. Infections, involving pocket and lead(s), were due to S. epidermidis (), S …