Preeclampsia sFlt-1/PlGF Ratio, Serum

Message
Sendouts, Mayo test code: PERA


Test Code
LAB1238554


Alias/See Also
Preeclampsia
SFLT
PLGF
SFLT/PLGF Ratio
Preeclampsia sFlt-1/PIGF (Soluble fms-Like Tyrosine Kinase 1/ Placental Growth Factor) Ratio, Serum


CPT Codes
0482U

Preferred Specimen
0.5 mL serum from a serum gel tube.


Patient Preparation
For 24 hours before specimen collection, the patient should not receive intravenous heparin.

Minimum Volume
0.3 mL


Other Acceptable Specimens
Red tube


Transport Container
Plastic vial


Transport Temperature
Frozen


Specimen Stability
Frozen: 180 days
Refrigerated: 24 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis OK
Gross lipemia OK
Gross icterus Reject


Methodology
Immunofluorescent Assay (IFA)

Setup Schedule
Monday through Saturday


Report Available
1 to 3 days


Limitations
The B·R·A·H·M·S PIGF (placental growth factor) plus KRYPTOR assay must be run in conjunction with the B·R·A·H·M·S sFlt-1 (soluble fms-like tyrosine kinase 1) KRYPTOR assay and the same patient sample must be used to run both assays. Use of another manufacturer's assays may result in significantly different results.

The sFlt-1/PlGF ratio should not be used for a woman with a multiple pregnancy because the safety and effectiveness of the assay has not been established in women pregnant with multiple fetuses (twins, triplets, etc).

The sFlt-1/PlGF ratio should not be used for a woman receiving intravenous heparin for 24 hours prior to testing because the safety and effectiveness of the assay has not been established in such cases.

The sFlt-1/PlGF ratio should not be used for women receiving exogenous PlGF-2 or PlGF-3 for therapeutic use at concentrations higher than 100 pg/mL because the safety and effectiveness of the assay has not been established in such cases. However, in samples with equal concentrations of PIGF-1 and PIGF-2, the measurement of PIGF-1 was relatively unaffected.

The results of the test are not intended to inform the healthcare provider whether to change treatment, including medication or hospitalization.

In rare cases, some individuals can develop antibodies to mouse or other animal antibodies (often referred to as human anti-mouse antibodies [HAMA] or heterophile antibodies), which may cause interference in some immunoassays. Caution should be used in interpretation of results, and the laboratory should be alerted if the result does not correlate with the clinical presentation.


Reference Range
Included with report


Clinical Significance
Aiding in risk assessment of patients with clinical signs and symptoms consistent with development of preeclampsia with severe features

This test is not intended for making a diagnosis of preeclampsia or preeclampsia with severe features.

This test is not a stand-alone test for monitoring of hypertensive disorders of pregnancy or for changing treatment, including medication.


Performing Laboratory
Mayo Clinic Laboratories, Rochester, Minnesota

Additional Information
Preeclampsia sFlt-1/PlGF Ratio, Serum


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.