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

To identify predictors and procedural determinants of prolonged puncture-to-wire time (PWT) in STEMI patients and their clinical implications.

Approach:
  • Study Design: Single-center, real-world registry analysis of 1,403 STEMI patients undergoing coronary angiography at the University Hospital Erlangen-Nuremberg from January 2015 to December 2024.
Key Findings:
  • Prolonged PWT was associated with adverse in-hospital outcomes, including increased mortality and acute kidney injury (AKI).
  • Factors influencing prolonged PWT included challenging coronary access and revascularization techniques.
Interpretation:

Understanding factors influencing PWT may help optimize procedural strategies to improve efficiency and patient outcomes.

Limitations:
  • Single-center study may limit generalizability of the findings.
  • Potential for unmeasured confounding factors affecting PWT outcomes.
Conclusion:

Identifying predictors of prolonged PWT can inform strategies to enhance procedural efficiency in STEMI management.

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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