Test Code PFA Platelet Function Analysis
Additional Codes
EPIC | LAB4164 |
Clinical Significance
The PFA-100 can be used as an aid in the rapid evaluation of platelet dysfunction in citrated human whole blood. The instrument determines the time from the start of the test until the platelet plug occludes the aperture, and reports that time interval as the Closure Time (CT). The CT is an indicator of platelet function in the analyzed whole blood sample. As expected, platelet plug formation in the PFA-100 system is affected by low platelet counts and/or activity, inadequate plasma von Willebrand factor status, and additionally by, inadequate hematocrit because of the flow process. The Collagen/Epinephrin (COL/EPI) Test Cartridge is the primary cartridge of used used to detect platelet dysfunction induced by intrinsic platelet defects, von Willebrand disease or exposure to platelet inhibiting agents. The Collagen/ADP Test Cartridge is used to indicate if an abnormal result obtained with the COL/EPI Test Cartridge may have been caused by the effect of acetyl salicylic acid (ASA) or medications containing ASA.
Source:
Methodology
At the beginning of a PFA-100 test, Trigger Solution is dispensed to wet the membrane. During the test, platelets adhere to the collagen-coated membrane. Then, similar to aggregometry, platelets become activated and release their granule contents upon contacting agonists such as ADP or epinephrine. The release of granule contents is followed by adherence of platelets to each other to form aggregates. As a measure of platelet function in the PFA-100 system, the process of platelet aggregation builds a platelet thrombus at the aperture thereby gradually diminishing and finally arresting the blood flow.
Sample Type
Preferred Sample Type | |
---|---|
Light blue top - Na Citrate Whole blood (x2) |
NOTE: Two full tubes are required in order to cover reflex testing.
Centrifuge: No
Specimen Minimum Volume
5.4 mL
Specimen Stability
Temperature | Time |
---|---|
Ambient (18-25°C) (store) | 4 hours |
Refrigerated (2-8°C) | N/A |
Frozen (-15 to -20°C) | N/A |
Reference Ranges
Cartridge Type | Normal Range |
---|---|
Collagen/Epinephrine | 91 - 182 sec |
Collagen/ADP | 59 - 133 sec |
Normal | ASA | vWD |
Glanzmann's |
|
---|---|---|---|---|
COL/EPI | Normal | Abnormal | Abnormal | Abnormal |
COL/ADP | Normal | Normal | Abnormal | Abnormal |
Rejection Criteria
Hemolysis | 1+ or greater, reject |
---|---|
Icterus | N/A |
Lipemia | 1+ or greater, reject |
- Clotted specimens
- Underfilled/Overfilled specimens
- Specimens outside of stability limits
- Specimens sent through pneumatic tube system
- Centrifuged specimens
Availability
Performed | STAT |
---|---|
24/7 | Yes |
Performing Laboratory
MultiCare Yakima Memorial Hospital Laboratory
Lab Department
Hematology
CPT Code
85576
LOINC
72257-9 Platelet function.collagen + Adenosine diphosphate induced and EPINEPHrine induced panel (Bld)