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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 |