Test Code RPAGG Ristocetin Induced Platelet Aggregation (RIPA)
Specimen and Container/Tube
Specimen Type: Whole Blood
Preferred Specimen: Light Blue Top Tube, 3.2% Sodium Citrate
Other Acceptable specimens: N/A
Specimen Handling and Transport Instructions
UCMC Onsite Instructions:
1. Coagulation Lab Staff must be present for sample collection. Please call Coagulation lab at 773-702-1315 (2-1315).
2. Specimens may not be sent to the lab via the Pneumatic tube station (PTS).
UCMC Offsite and UC MedLab Outreach Instructions:
Specimen cannot be collected offsite; patient specimen must be drawn at Hyde Park location.
Test must be scheduled with Coagulation Laboratory.
Please call 773-702-1315.
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 collected off-site and sent to Coagulation laboratory will be rejected
Reference Values
Test |
Age |
Sex |
Reference Range |
Decreasing doses of Ristocetin |
ALL |
ALL |
Interpretation provided |
Critical Values
Analyte |
Unit |
Low |
High |
Age |
N/A |
N/A |
N/A |
N/A |
N/A |
CPT Codes
85576 X5
LOINC Codes
5998-0
Volume
Preferred Volume: Ten Light Blue Top Tubes, 3.2% Sodium Citrate
Minimum Volume: Ten Light Blue Top Tubes, 3.2% Sodium Citrate
Specimen Stability
Storage Temperature |
Stability |
Room temperature |
4 hours |
Refrigerated |
not acceptable |
Frozen |
not acceptable |
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
Decreasing doses of Ristocen tested for platelet aggregation with pathology review
Clinical Indications
Functional platelet aggregation study used to investigate for certain subtypes of von Willebrand disease or platelet function disorder.
Methodology
Platelet aggregation
Additional Information
- Ten 2.7 mL plastic 3.2% sodium citrate blue top vacutainer tubes per patient. A technologist from the Coagulation Laboratory must be present when the blood is drawn to ensure sample integrity.
- Specimens should be drawn with a minimum of trauma or stasis at the venipuncture site and anticoagulated in the ratio of 1 part anticoagulant to 9 parts blood.
- Once each blue top tube is completely filled, gently invert the sample tube at least five times to ensure complete mixing of the contents.
- After being drawn , plastic or non-contact surfaced (siliconized) material should be used throughout in order to minimize activation of the platelets during sample preparation.
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: N/A
Testing Schedule: Monday to Friday 8 am to 12 pm. Test must be scheduled.
Synonyms/Keyword Search
Ristocetin induced platelet function studies
Last Review Date
11/11/2024