Von Willebrand'S Panel

Message

The Panel includes Platelet Function Assay, Factor VIII Assay, Factor VIII Antigen, and Ristocetin Cofactor.



Test Code
VWP


Includes
PFA, FVIII, RIST, F8A


Preferred Specimen

5 Blue



Minimum Volume
Blue top must be filled to Minimum Fill Indicator Line on tube.


Instructions

Refer to instructions for individual tests included in profile for proper processing and transport instructions.



Transport Container

BLUE/5



Specimen Stability
Refer to instructions for individual tests included in profile for proper processing and transport instructions.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Refer to Individual Testing


Methodology
Refer to Individual Testing

Setup Schedule

Refer to Individual Testing



Report Available
Refer to Individual Testing


Reference Range

Refer to Individual Reports for Range



Clinical Significance

Von Willebrand's disease (VWD) is a common bleeding disorder represented by a qualitative or quantitative defi­ciency of Von Willebrand factor (VWF). Patients with decreased levels of VWF frequently have prolonged bleeding times in the presence of normal platelet counts. VWF is present in endothelial cells, megakaryocytes and platelets and circulates in the blood in association with Factor VIII procoagulant protein (VIII:C).  VWF is synthesized in the endothelial cells and megakaryocytes.  The vWF has a specific antigenic determinant on its surface known as vonWillebrand factor antigen (vWF:Ag).  Patients with classic hemophilia A have decreased levels of factor VIII:C, but normal to increased levels of the vWF:Ag, whereas patients with vonWillebrand disease may have decreased to normal levels of both factorVIII:C and vWF:Ag. Ristocetin cofactor activity is that property of the plasma vonWillebrand factor, which is responsible for in vitro platelet agglutination in the presence of ristocetin.  Decreased amounts of abnormalities of the factor are associated with the vonWillebrand syndrome.





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.