Predictors of a prolonged puncture-wire time in patients with ST-Elevation Myocardial Infarction (STEMI) - Report - MDSpire

Predictors of a prolonged puncture-wire time in patients with ST-Elevation Myocardial Infarction (STEMI)

  • By

  • Merve Günes-Altan

  • Stephan Achenbach

  • Johannes Michael Altstidl

  • Maximilian Moshage

  • Henry Strupp

  • Lennart Lorenz

  • Stephan Scholl

  • Mohamed Marwan

  • Monique Troebs

  • Luise Gaede

  • July 7, 2026

  • 0 min

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Factors Influencing Extended Puncture-Wire Duration in STEMI Patients

Overview

This study identifies predictors and procedural determinants of prolonged puncture-to-wire time (PWT) in STEMI patients undergoing primary PCI.

Background

ST-elevation myocardial infarction (STEMI) necessitates rapid reperfusion to mitigate myocardial damage. Delays in reperfusion are associated with increased mortality. This study focuses on the puncture-to-wire time as a specific interval that may reveal contributors to treatment delays.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • Prolonged puncture-to-wire time (PWT) may indicate procedural inefficiencies in STEMI treatment.
  • Factors influencing PWT include the complexity of coronary access and the timing of procedures relative to core working hours.
  • Shorter reperfusion times are consistently linked to improved clinical outcomes in STEMI patients.
  • Current guidelines emphasize the importance of minimizing time to mechanical reperfusion.

Clinical Implications

Identifying factors that contribute to prolonged PWT can guide procedural improvements in STEMI management.

Conclusion

The study highlights the importance of understanding procedural determinants of PWT in STEMI patients.

Related Resources & Content

  1. Basic Research in Cardiology, 2024 -- Impact of Ventricular Fibrillation on Infarct Size Following Myocardial Infarction: A Translational Investigation
  2. Clinical Research in Cardiology, 2025 -- Sex-Based Differences in Myocardial Infarction Outcomes: An Analysis of Clinical and Real-World Data from Two Cohorts
  3. Basic Research in Cardiology, 2019 -- Neutrophil Extracellular Traps and Fibrocytes in the Context of ST-Segment Elevation Myocardial Infarction
  4. Clinical Research in Cardiology, 2024 -- Pre-hospital administration of heparin does not influence infarct vessel patency or mortality rates in patients with ST-segment elevation myocardial infarction following out-of-hospital cardiac arrest
  5. Association between door-to-wire time and 30-day mortality after PCI in patients with acute myocardial infarction: evidence from a single-center study in the China chest pain center registry
  6. Predictors of a prolonged puncture-wire time in patients with ST-elevation myocardial infarction (STEMI)
  7. 2023 ESC ACS Guidelines
  8. Association between door-to-wire time and 30-day mortality after PCI in patients with acute myocardial infarction: evidence from a single-center study in the China chest pain center registry
  9. Predictors of a prolonged puncture-wire time in patients with ST-elevation myocardial infarction (STEMI)

Original Source(s)

Predictors of a prolonged puncture-wire time in patients with ST-Elevation Myocardial Infarction (STEMI)

  • by Merve Günes-Altan, Stephan Achenbach, Johannes Michael Altstidl, Maximilian Moshage, Henry Strupp, Lennart Lorenz, Stephan Scholl, Mohamed Marwan, Monique Troebs, Luise Gaede

  • July 7, 2026

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