Test Code HPTT aPTT, Heparin Removed
Specimen and Container/Tube
Specimen Type: Plasma
Preferred Specimen: Light Blue Top Tube, 3.2% Sodium Citrate
Other Acceptable specimens: N/A
Specimen Handling and Transport Instructions
UCMC Onsite Instructions:
Collect specimen per standard collection procedure and send to laboratory immediately.
NOTE: Once each blue top tube is completely filled, gently invert the sample tube at least five times to ensure complete mixing of the contents.
UCMC Offsite and UC MedLab Outreach Instructions:
- Collect specimen per standard collection procedure.
- Once each blue top tube is completely filled, gently invert the sample tube at least five times to ensure complete mixing of the contents.
- Centrifuge specimens at >2500 x g for 10 minutes at room temperature.
- Carefully remove plasma from cells using a plastic transfer pipette avoiding buffy coat.
- Aliquot removed plasma into 2 plastic tubes containing a minimum of 0.5 mL of specimen in each tube.
- Plasma samples must then be frozen at -20oC.
- Once solidly frozen, they must be shipped on dry ice. Samples that have thawed in transit will be rejected.
Rejection Criteria
- Common specimen rejected situations include: incorrect specimen type, insufficient volume, missing or incomplete specimen identifiers, incorrect specimen transport, or specimens outside stability limits.
- Specimens that have wrong ratio of blood to anticoagulant (fill volume), clotted or grossly hemolyzed.
Reference Values
Test |
Age |
Sex |
Reference Range |
aPTT, heparin removed |
ALL |
ALL |
25.0 - 34.0 seconds |
Critical Values
Analyte |
Unit |
Low |
High |
Age |
aPTT, heparin removed |
|
|
>120.0 |
ALL |
CPT Codes
85730; 85525
LOINC Codes
52123-7
Volume
Preferred Volume: 2.0 mL
Minimum Volume: 1.0 mL
Specimen Stability
Storage Temperature |
Stability |
Room temperature |
4 hours |
Refrigerated |
not acceptable |
Frozen |
30 days |
Collection Instructions
Collect specimen per standard laboratory collection procedures.
NOTE: Once each blue top tube is completely filled, gently invert the sample tube at least five times to ensure complete mixing of the contents.
Test Components
Activated Partial Thromboplastin Time (aPTT) post heparin removal.
Clinical Indications
Performed to remove heparin from samples with supra-therapeutic heparin levels (such as samples drawn off of heparin locked lines without adequate waste volume drawn off). Allows accurate aPTT to be performed in these settings.
Methodology
Clotting
Additional Information
aPTT, heparin removed orders with normal aPTT results will be converted to regular aPTT test order and reported.
3.2% sodium citrate light blue top tubes must have 9 to 1 ratio of blood to anticoagulant
Turnaround Time
Turnaround times are relative to the time the specimen is received in the test laboratory.
STAT Turnaround Time: N/A
Routine Turnaround Time: 8 hours
Testing Schedule: 7days a week, 5 am to 10:30 pm
Synonyms/Keyword Search
Hepcheck aPTT, Hepzyme aPTT
Last Review Date
05/28/2024