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Test Code LAB311 Antithrombin III (3) Activity

Important Note

Blue tubes that are not filled to the required line will not be processed, due to result integrity being affected.  

Useful For

Diagnosis of antithrombin III deficiency.  Antithrombin III deficiency has been associated with recurrent thromboembolic disease.

Methodology

Chromogenic Substrate

Performing Laboratory

Bozeman Health Laboratory Services

Specimen Requirements

Specimen must arrive and be tested within 4 hours of draw.

 

Specimen Type: Whole blood
Container/Tube: Blue top (3.2% sodium citrate)

Specimen Volume: Full tube

Collection Instructions:

1. Immediately after draw, invert tubes several times to mix blood with additive.

2. Send specimen in original tube.

3. If there is a delay in transport of >4 hours, specimen must be double-centrifuged to prepare a platelet-free plasma specimen as follows:

a. Immediately centrifuge at 3,200 rpm for 15 minutes.

b. Carefully remove plasma from cells avoiding platelet/buffy coat, and transfer plasma into a plastic tube.

c. Centrifuge plastic tube at 3,200 rpm for 15 minutes.

d. Carefully remove top portion of plasma and transfer plasma into a plastic tube leaving approximately 250 mL in bottom to discard.

e. Double-centrifuged plasma should be aliquoted (0.5 mL-1 mL each) into clearly labeled plastic tubes. (Glass vial is not acceptable.)

Note: Number of tests ordered will determine number of aliquots needed, generally 1 aliquot per test.

f. Specimens should be frozen at <-40° C, if possible, and sent together in same container with at least 5 lbs of dry ice. Specimens must arrive in a frozen state.

Additional Information:

1. Double-centrifuged specimen is critical for accurate results as platelet contamination may cause spurious results.

2. Heparin treatment may lower plasma antithrombin.

Specimen Transport Temperature

Ambient (whole blood) <4 hours/Frozen (plasma) >4 hours

Specimen Stability

Specmen Type Temperature Time
Whole Blood (unspun) Ambient 4 hours
Plasma Na Citrate (spun) Ambient 8 hours
Plasma Na Citrate (double spun) Frozen 14 days

 

Reference Values

80%-120% activity 

Day(s) Test Set Up

Thursday

Test Classification and CPT Coding

85300