Test Code LAB311 Antithrombin III (3) Activity
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