Epic Code LAB1230586 TEG Platelet Mapping Assay (ADP & AA)
Test Name Alias
Platelet Mapping Assay | TEG 6s Platelet Mapping Collection | Thromboelastograph (TEG)
Interface Order Alias
1230586
Quick Collect
WALK TO BB View lab catalog for collection instructions.
Clinical Information
The platelet mapping assay assesses platelet function with or without the effect of anti-platelet drugs in whole blood.
- HKH = Kaolin with Heparinase
- ActF = Activator F
- ADP = adenosine-5’-diphosphate
- AA = Arachadonic Acid
- % Inhibition: Indicates the reduction in platelet contribution to overall clot strength.
Ordering Instructions
For TEG Manager Access: Place a ServiceNow request and request “TEG Viewer”.
Collection Instructions
Specimen Collection: Blood
Container(s): 4.0 mL Green Top Lithium Heparin Non-Gel
Preferred Volume to Collect: 4 mL
Capillary collect ok? No
Microtainer acceptable: No
Collection Instructions:
Platelet Mapping Assay:
Assesses platelet function with or without the effect of anti-platelet drugs.
Venipuncture:
- Use a 21-gauge needle or larger - a 21-gauge butterfly with tubing is OK. Never use a smaller gauge needle.
- Draw a discard tube (no additive or light-blue top marked “discard”) or discard syringe of 3-5 ml prior to collecting blood for TEG® analysis - required.
- Completely fill a Lithium Heparin Non-Gel Green Top BD tube.
- Immediately gently invert the tube 5 times.
Arterial Line or Central Line:
Draw per the population appropriate Central Venous Catheter (CVC): Insertion, Maintenance, Utilization and Removal policy or Arterial Line: Insertion, Maintenance, Obtaining Samples, and Removal Policies.
- Key Points:
- Do not use heparinized syringes.
- If closed blood sampling system is not in use, draw a discard tube (no additive or light-blue top marked “discard”) or discard syringe of 3-5 ml prior to collecting blood for TEG® analysis – required.
-
The amount of waste required is:
- Adult- 5ml
- Pediatric- 4ml
- Neonatal- 2ml
- Completely fill a Lithium Heparin Non-Gel Green Top tube.
- Immediately gently invert the tube 5 times.
Specimen Transport:
- Walk all TEG specimens to the Blood Bank.
- Do not use the pneumatic tube system.
When Collecting for Both Assays (Global Hemostasis & Platelet Mapping) draw order:
- 3.2% Sodium Citrate light-blue top tube marked discard (if from arterial line or central line closed blood sampling system is in use-skip this step).
- 3.2% Sodium Citrate light-blue top tube.
- Lithium Heparin Non-Gel Green top tube.
If there are questions regarding ordering and/or collection, please contact the Lab Call Center. If there are questions regarding interpretation please contact Dr. Peter Millward, Associate Medical Director, Blood Bank, or the Clinical Pathologist on call.
Rejection Criteria
- Specimens that are under or over filled
- Specimen sent in pneumatic tube system
- Specimen has been thawed
Specimen Stability
Ambient: 2 hours
Laboratory Retention: 24 hours
Test Frequency
Available daily
Reference Range
Parameter | Range | Units |
---|---|---|
HKH | 53 to 68 | mm |
ActF | 2 to 19 | mm |
ADP | 45 to 69 | mm |
AA | 51 to 71 | mm |
ADP % Inhibition | 0 to 17 | % |
AA % Inhibition | 0 to 11 | % |
NOTE: Reference ranges not established for patients under 18 years old
Performing Department
Blood Bank
Performing Department Laboratory Location
Corewell Health Butterworth Laboratory, Grand Rapids, MI
Methodology
Currently unavailable
CPT
HC POC TEG PLATELET AGGREGATION IN VITRO EACH AGENT [85576 (CPT®)]
CDM Code
Unavailable
Epic Test ID
1230102208
LOINC
Currently Unavailable
Mayo Access Code
Currently Unavailable
Resources
PolicyTech #24255
Reviewed Date
2/1/2022