Test Code PTT Activated Partial Thromboplastin (APTT)
Additional Codes
EPIC | LAB4017 |
Synonyms
- PTT
- APTT
Clinical Significance
Activated Partial Thromboplastin Time (APTT) is used for the evaluation of the intrinsic coagulation pathway, APTT substitution test, and the monitoring of heparin therapy. Prolonged clotting times may be observed in the following situations: deficiency of Factors II, V, VIII, IX, X , XI, XII or fibrinogen, liver diseases, vitamin K deficiency, presence of heparin, lupus anticoagulant or other inhibitor.
Source: HemosIL SynthASil PN 0020006800 IFU
Methodology
A plasma sample is incubated with an optimal quantity of phospholipids and a negatively charged contact activator which initiates the activation of the intrinsic coagulation pathway. Calcium is added after incubation at 37°C for a specific period of time, and the time for clot formation is measured.
Sample Type
Preferred Sample Type | |
---|---|
Light blue top - Na Citrate Plasma |
Centrifuge: Yes
Specimen Minimum Volume
0.5 mL
NOTE: Na Citrate Blue top tubes require that the tube is filled adequately to maintain the 9:1 blood to anticoagulant ratio.
Specimen Stability
Temperature | Time |
---|---|
Ambient (18-25°C) (store) | 4 hours |
Refrigerated (2-8°C) | N/A |
Frozen (<-20°C) | 14 days |
NOTE: Separate plasma from cells within 2 hours
Reference Ranges
Normal Range |
---|
25.1 - 36.5 sec |
Therapeutic Range |
---|
APTT is not used for heparin dosage protocol |
Critical Value |
---|
>170.0 sec |
Technical Range |
---|
16.0 - 400.0 sec |
Rejection Criteria
Hemolysis | 1+ or greater, reject |
---|---|
Icterus | N/A |
Lipemia | 1+ or greater, reject |
- Clotted samples
- Underfilled or overfilled samples
Availability
Performed | STAT |
---|---|
24/7 | Yes |
Performing Laboratory
MultiCare Yakima Memorial Hospital Laboratory
Lab Department
Hematology
CPT Code
85730
LOINC
14979-9 aPTT Coag (PPP) [Time]