Figure 2. Information from 44 different institutions was obtained. A: Number of procedures performed per institution. B: In most institutions, lead extraction is performed by electrophysiologists. C: Most institutions rely on mechanical lead extraction tools, with only 5 institutions (13%) using laser powered sheaths. D: Safety measures used during lead extraction procedures. Eighty-seven percent of respondents reported cardiovascular surgeons were present either in room or on call within the institution. Abbreviations: CV: cardiovascular; TEE: transesophageal echocardiography; ICE: intracardiac echocardiography.