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Factor X Inhibitor Profile Comprehensive

Order Code
500060
CPT
85260, 85335, 85610, 85611x2, 85730
Test Details
Synonyms

Bethesda Titer

TAT

9 days

Methodology

The factor X inhibitor (Bethesda titer) assay is performed using a prothrombin time-based system, using thromboplastin reagent.6 Serial dilutions are made of patient plasma with veronal buffered saline, then mixed with normal plasma containing close to 100% factor X activity and are then incubated for two hours. A PT-based factor X assay using factor X-depleted plasma substrate is then performed on these incubated mixtures. Results are compared to those of incubated normal plasma. One Bethesda unit is defined as the amount of factor X inhibitor that neutralized 0.5 IU of factor X in this system. The number of serial dilutions tested is based on the anticipated level of the inhibitor.

Remarks

Test Includes: Activated partial thromboplastin time (aPTT), aPTT 1:1 mix with normal plasma, aPTT 1:1 mix with saline, factor X activity, factor X Bethesda titer

Performing Location

Accredited Laboratory Partner

Testing Frequency

Contact Technical Support

Test Overview

Assesses presence of inhibitors against Factor X. Used in acquired bleeding disorders or factor replacement resistance.

Specimen Type

Plasma

Volume

6 mL (2 mL in each of three tubes)

Specimen Container

Blue top (sodium citrate) tube

Patient Preparation

No special preparation is required for this test. You may eat, drink, and take your medications as normal, unless instructed otherwise by your healthcare provider.

Collection

Citrated Plasma samples should be collected by double centrifugation

Specimen Stability
Temperature Period
Frozen checking
Order Code
500060
CPT
85260, 85335, 85610, 85611x2, 85730
Test Details
Synonyms

Bethesda Titer

TAT

9 days

Methodology

The factor X inhibitor (Bethesda titer) assay is performed using a prothrombin time-based system, using thromboplastin reagent.6 Serial dilutions are made of patient plasma with veronal buffered saline, then mixed with normal plasma containing close to 100% factor X activity and are then incubated for two hours. A PT-based factor X assay using factor X-depleted plasma substrate is then performed on these incubated mixtures. Results are compared to those of incubated normal plasma. One Bethesda unit is defined as the amount of factor X inhibitor that neutralized 0.5 IU of factor X in this system. The number of serial dilutions tested is based on the anticipated level of the inhibitor.

Remarks

Test Includes: Activated partial thromboplastin time (aPTT), aPTT 1:1 mix with normal plasma, aPTT 1:1 mix with saline, factor X activity, factor X Bethesda titer

Performing Location

Accredited Laboratory Partner

Testing Frequency

Contact Technical Support

Test Overview

Assesses presence of inhibitors against Factor X. Used in acquired bleeding disorders or factor replacement resistance.

Specimen Type

Plasma

Volume

6 mL (2 mL in each of three tubes)

Specimen Container

Blue top (sodium citrate) tube

Patient Preparation

No special preparation is required for this test. You may eat, drink, and take your medications as normal, unless instructed otherwise by your healthcare provider.

Collection

Citrated Plasma samples should be collected by double centrifugation

Specimen Stability
Temperature Period
Frozen checking