Clinics and Departments

Laboratory Services

Lab Dept:

Coagulation

Test Name:

PTT (FAIRVIEW UNIVERSITY)

General Information

Lab Order Codes:

PTTU

Synonyms:

APTT to Fairview University; Partial Thromboplastin Time to Fairview University; Activated PTT to Fairview University

CPT Codes:

85730 – Thromboplastin time, partial (PTT); plasma or whole blood

Test Includes:

PTT result reported in seconds.

Logistics

Test Indications:

Useful for screening of the intrinsic and common pathways in the coagulation system (factors II, V, VIII, IX, X, XI and XII); screening for dysfibrinogenemia, disseminated intravascular coagulation (DIC), congenital hypofibrinogenemia, vitamin K deficiency, HMWK deficiency and prekallikrein deficiency

Lab Testing Section:

Coagulation - Sendouts

Referred to:

Fairview University Medical Center

Phone Numbers:

Minneapolis:

Saint Paul:

 

612-813-6280

651-220-6550

Test Availability:

Daily, 24 hours

Turnaround Time:

8 hours routine; 4 hours STAT

Special Instructions:

Patient should not be receiving Coumadin® or heparin.

If so, this should be noted on the request form. Heparin or warfarin therapy can affect certain coagulation factors or assays, preclude their performance, or cause spurious results.

Indicate when specimen is drawn from a line or a heparin lock. Deliver immediately to the laboratory.

Specimen

Specimen Type:

Whole blood

Container:

Light Blue top (Buffered Na Citrate 3.2%) tube

Draw Volume:

2.7 mL blood in a 3 mL tube (Minimum: 1.8 mL in a 2 mL tube)

Processed Volume:

Specimen will be processed by reference lab facility.

Collection:

A clean venipuncture is essential. Do Not use the first 2 mL of blood collected.

If the patient’s hematocrit is >55%, contact the laboratory to obtain a special tube.

Fill tube completely. Mix thoroughly by gentle inversion.

Special Processing:

Lab Staff: Do Not centrifuge. Send to reference lab in original Vacutainer®. Specimen must arrive within 24 hours. If more than 24 hours is required for transport, contact laboratory for processing instructions

Patient Preparation:

None

Sample Rejection:

Improper tube; clotted sample; overfilled tube; underfilled tube; mislabeled or unlabeled specimens

Interpretive

Reference Range:

Age:

Range (Seconds):

0 – 1 month:

27 - 52

1 – 6 months:

24 - 47

>6 months:

22 - 37

Critical Values:

>105 seconds

Limitations:

N/A

Methodology:

Activated partial thromboplastin time

Contraindications:

Patient on heparin therapy

References:

Fairview University Medical Center Web Page http://labguide.fairview.org/diagnostic.asp July 2012

Harmening DH (1997) Clinical Hematology and Fundamentals of Hemostasis

Updates:

6/3/2004: Reference ranges previously ≥1 yr = 23.0 – 33.0 seconds, current ranges broken down by age under Reference Range:
Critical value changed from >70 seconds to >105 seconds.
Draw volume changed from 4.5 mL to 2.7 mL blood. Minimum Draw Volume changed from 2.7 mL to 1.8 mL blood.
5/25/2010: Tubing patient specimens is no longer prohibited.



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