Platelet Aggregations with ATP Release

Orderable EAP code:

LAB00231

Billable EAP Codes:

80001087 x 6 85576.3 x 6 (Profee)

CPT Codes:

85576 x 6 85576 x 6 (Profee)

Lab Section:

Hemostasis and Thrombosis

Turnaround Time:

1 day

Test Schedule:

Specimen must be collected at OHSU PPV or DCH by appointment only. Schedule with Lab Client Services 503-494-7383.  Schedule appointments Tuesdays, 9:00 to 12:00, at least 1 hour apart and no more than 3 per day.

Specimen Requirements:

Patients should refrain from non-steroidal anti-inflammatory drugs, aspirin and aspirin containing products, (unless the patient is being checked for aspirin resistance) or dietary supplements known to affect platelet function 10-14 days prior to testing. 

Four FULL 2.7 mL whole blood LIGHT BLUE (3.2% sodium citrate) tubes and one 3 mL whole blood LAVENDER (EDTA).  Do NOT send in pneumatic tube system. Do NOT spin.

Stability is 3 hours at Room Temperature.
Sample must be received in SIC Lab within 1 hour of the draw.

Pediatric Specimen Requirements:

Patients should refrain from non-steroidal anti-inflammatory drugs, aspirin and aspirin containing products, (unless the patient is being checked for aspirin resistance) or dietary supplements known to affect platelet function 10-14 days prior to testing.

Three FULL 2.7 mL whole blood LIGHT BLUE (3.2% sodium citrate) tubes and one 3 mL whole blood LAVENDER (EDTA).  Do NOT send in pneumatic tube system. Do NOT spin.

Stability is 3 hours at Room Temperature.
Sample must be received in SIC Lab within 1 hour of the draw.

For pediatric patients requiring multiple coagulation tests, please call 503-494-7383 regarding draw volumes.

Reference Range:

Reagent

Concentration

Reference Range

Units

Thrombin ATP Release

1 Unit/mL

greater than 0.5

nmole

Ristocetin Aggregation

0.25 mg/mL

less than 5

Ohms

Ristocetin Aggregation

1.0 mg/mL

greater than 5

Ohms

Collagen Aggregation

1 ug/mL

12 - 33

Ohms

Collagen ATP Release

1 ug/mL

0.43 - 2.2

nmole

Collagen Aggregation

5 ug/mL

11 - 42

Ohms

Collagen ATP Release

5 ug/mL

0.54 - 2.9

nmole

Arachidonic Acid Aggregation

0.5 mM

7 - 29

Ohms

Arachidonic Acid ATP Release

0.5 mM

0.45 - 2.7

nmole

ADP Aggregation

10 uM

6 - 33

Ohms

ADP ATP Release

10 ums

0.21 - 1.9

nmole 

Comments:

This test is to screen for specific hereditary and acquired platelet functional abnormalities such as rare congenital disorders (Glanzmann's thrombasthenia and Bernard-Soulier syndrome).

Synonyms:

Aggregation
Plt Agg