Test Directory
Dysfibrinogenemia Functional Panel
Justification
This panel is for the assessment of fibrinogen function. Thrombin time may be prolonged due to afibrinogenemia, hypofibrinogenemia, dysfibrinogenemia, or the presence of heparin and direct thrombin inhibitors.
Heparin contamination can be ruled out by adding protamine sulfate if thrombin time is prolonged.
STAT: < 24 hours (7 days a week)
Clot-based
Draw Tube: Blue Top
Sample Type: Citrated Plasma
Specimen Requirements
Sample Type | Volume Required | Minimum Volume | Stability | |
---|---|---|---|---|
PREFERRED | Citrated Plasma | Three aliquots, 1mL each | Three aliquots, 0.5mL each | Frozen (-20C): 2 weeks Frozen (-80C): 6 months |
ALTERNATIVE | - | - | - | - |
REJECTION CRITERIA | Thawed in transit, refrozen or clotted sample |
SPECIAL INSTRUCTIONS | - |
General Information
METHODOLOGY | Clot-based |
STAT TAT | < 24 hours (7 days a week) |
STAT TAT Performance | > 90% of results released in 24 hours 7 days a week |
ROUTINE TAT | < 1 week |
ALTERNATIVE NAMES | Fibrinogen panel |
DESCRIPTION | The clot-based and ELISA-based tests in this panel are designed to be sensitive to fibrinogen disorders including dysfibrinogenemia, hypofibrinogenemia, hypodysfibrinogenemia and afibrinogenemia. In order to confirm the absence of heparins or DTIs, the thrombin time test reflexes to a heparin neutralization test when prolonged. |
LIMITATIONS | - |
NORMAL RANGE | Interpretation: Normal |
ASSOCIATED TESTING | - |
REFERENCES | 1. Medved L et al. Fibrinogen and Factor XIII Subcommittee of Scientific Standardization Committee of International Society on Thrombosis and Haemostasis. Recommendations for nomenclature on fibrinogen and fibrin. J Thromb Haemost 2009; 7:355. 2. Tennent GA et al. Human plasma fibrinogen is synthesized in the liver. Blood 2007; 109:1971. 3. Martinez J. Congenital dysfibrinogenemia. Curr Opin Hematol 1997; 4:357. 4. Collen D et al. Metabolism and distribution of fibrinogen. I. Fibrinogen turnover in physiological conditions in humans. Br J Haematol 1972; 22:681. |
SAMPLE REPORT | Upon request |
NEW YORK STATE APPROVED | No |
Test Codes
ORDER CODE | P1202 |
CPT CODE | 85730, 85384, 85610, 85670 |
LOINC CODE | 3255-7, 3243-3, 14979-9, 5902-2, 6301-6 |