Resources

Heparin Induced Platelet Antibody IgG

Message
Performed at BUMCT


Test Code
HITE


Preferred Specimen
Plasma collected in: 3.2% sodium citrate (light blue-top) tube


Instructions
Light blue capped tubes (3.2% buffered sodium citrate) used for coagulation testing must be allowed to fill completely (after filling a small air space will normally be present). Short filled tubes will be rejected.Centrifuge within 1 hour of collection. If testing is not performed on day of collection transfer specimen to polypropylene plastic tube using a plastic transfer pipette. (Pour off 2 plasma aliquots). Freeze plasma < -20°C.


Specimen Stability
·         8 hours at 2-8°C
·         2 -3 years at -20°C or below , in a non-frost-free freezer


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
·         clotted specimens
·         underfilled or overfilled tube
·         collection in 3.8% Citrate
·         specimens collected in expired tubes
·         serum samples
·         specimen past stability
·         thawed frozen samples
·         Hemolyzed, icteric, lipemic sample, heat-inactivated, or microbially contaminated specimens
·         Diluted samples


Methodology
Immucor PF4 IgG ELISA assay

Setup Schedule
Mon - Wed - Fri (except holidays)
Note - specimen deadline is 10am on day of run


Report Available
By 1600 on the day of run


Clinical Significance
Heparin Induced Thrombocytopenia (HIT) is a serious immune-mediated complication of heparin therapy affecting 1 –
4% of patients receiving the drug. HIT occurs when IgG antibodies are formed against a neoantigen created by
complexes of heparin and platelet factor 4. These antibodies activate platelets, resulting in thrombocytopenia and
thrombosis.




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.