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Heparin-dependent Platelet Antibody(Serotonin Release Assay)
Test Code:
150018
Performing Lab: LABCORP BURLINGTON
CPT Code:
82542   
Specimen Container Gel-barrier or red top tube
Specimen Type Serum, FROZEN
Volume 1.0 mL
Minimum Volume 0.5 mL
Temperature FREEZE
Specimen Handling Transfer serum to a plastic transport tube. To avoid delays in turnaround time when requesting multiple tests on frozen samples, PLEASE SUBMIT SEPARATE FROZEN SPECIMENS FOR EACH TEST REQUESTED.
Methodology The SRA employs washed donor platelets and detects their activation by measuring the release of endogenous serotonin induced by addition of patient serum. The serotonin levels are measured by a highly sensitive liquid chromatography/ tandem mass spectroscopy method. Therapeutic levels of heparin included in the assay mix allow for the formation of PF4/heparin complexes on the donor platelet surface to provide an antigen target for the HIT antibodies. The specificity of the assay is increased by assessing the inhibition of platelet activation by adding heparin in excess, thus proving the heparin dependency of the serotonin release.
Unacceptable Conditions Room temperature specimen received; grossly hemolyzed, icteric, and lipemic samples
Days Set-Up Monday- Friday
Shift Performed 1st shift
TAT From Set-Up 3 - 7 Days
Result Code Result Name LOINC
150014 SRA, Low Dose Heparin 77728-4
150016 SRA, High Dose Heparin 50727-7
150017 SRA, Interpretation 66488-8