|
 |
|
| Test Description |
|
Test Name
|
Plasminogen Activator Inhibitor-1 |
|
Synonym(s)
|
PAI-1 |
|
Description
|
PAI-1 is a fast acting inhibitor of tissue-type plasminogen activator(t-PA). Of the known inhibitors of t-PA, PAI-1 is considered to be the most physiologically important. In circulation, PAI-1 is present in both plasma (20%) and platelets (80%). |
|
Methodology
|
Bioimmunoassay |
|
Performed
|
Tuesday |
|
Turnaround Time
|
1-7 days |
|
Specimen Requirements
|
3 mL platelet-poor citrated plasma (light blue 3.2% sodium citrate tube). Freeze plasma within 1 hours of collection in 1 mL aliquots.
Collect sample between 8am and 12pm. Reference range was established based on fasting samples drawn between 8am and 12 pm. PAI-1 has diurnal variation, with higher values in the morning and decreased values in the afternoon.
Transport frozen.
Minimum volume 2 mL.
Coagulation Drawing Instructions:
- When drawing coagulation tests, always draw a “pilot” tube (7-10 mL plain red top tube, completely filled). This removes tissue fluid contamination, discard pilot tube.
- Draw blood in a light blue (3.2% sodium citrate) top tube. Fill tubes as far as vacuum will fill and mix gently. Ratio of anticoagulant and blood must be maintained. Avoid slow flowing draws and traumatic venipunctures.
- Spin vacutainer – remove plasma avoiding platelet/buffy layer – spin plasma again – remove top portion of plasma and place 1 mL of PLATELET-POOR PLASMA in plastic tube. (Glass tube unacceptable)
- Double-centrifugation is critical for accurate results as platelet contamination may cause erroneous results.
- Plasma must be frozen within 4 hours of collection.
- CRITICAL WARNING: Specimen must remain frozen until testing. Submit separate aliquots when multiple tests are ordered on same patient specimen.
|
|
Rejection Criteria
|
Plasma hemolyzed, thawed or contaminated with heparin. |
|
CPT Code(s)
|
85415 |
|
Reference Range
|
0.0 – 22.IU/mL |
|
Contact Information
|
Hemostasis Lab: 214-645-5067
Customer Service: 214-645-7057, Toll Free 877-887-8136 |
Last Modified: 01/05/2011 |
|