The best replacement for puncture is spinal tap.

The best alternatives to puncture are rated as following:
★★★★★  spinal tap
★★★  viper strike
★★★  epidural
★★★  pressure
★★  laceration
★★  impact warframe
★★  flat tyre
★  lightning arrow
★  venipuncture
★  bone marrow biopsy
★  myelogram
★  spinal block
  spinal puncture
  subarachnoid hemorrhage

Your alternative for puncture is not listed? Suggest!
Speaking about puncture, one probably shouldn't forget about fluoroscopy.

Other search terms related to puncture and their ratings are:
★★★★★ fluoroscopy
★★★★ opening pressure
★★★ run flat tyres
★ increased intracranial pressure
★ run flats
You have in mind a companion for puncture and it is not yet here? Propose!



Google Trends

Scale is based on the average worldwide traffic of puncture in all years. Click on graph for more.
puncture
spinal tap
viper strike