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Test Code LAB324 Thrombin Time

Clinical Information

Detection of low or dysfunctional fibrinogen and fibrinolytic degradation products.

Synonym

  • TT

Specimen Required

Preferred Container/Tube: 3.2% Citrate Blue Top - 2.7 mL
Specimen Volume: 2.7 mL
Acceptable Container/Tube: 3.2% Citrate Blue Top - 1.8 mL
Specimen Volume: 1.8 mL
Platelet poor plasma (PPP):
Specimen Volume: 2 - 1 mL aliquots platelet poor plasma (PPP)
Specimen Minimum Volume: 1 - 1 mL aliquot platelet poor plasma (PPP)

Specimen Collection Information

For Outreach, other than OSU Patient Service Centers: Samples must be processed and received frozen/must remain frozen in transit. 

For sending frozen plasma specimens, process immediately upon receipt. Centrifuge capped specimen tube in accordance with CLSI H21, at a speed and time required to consistently produce platelet-poor plasma (PPP = platelet count <10 K/uL). Transfer PPP into plastic aliquot tubes, cap and freeze. DO NOT transport until specimens are completely frozen. 

Specimen Stability Information

Ambient: 
     Whole blood: 1 hour
      Platelet poor plasma: 4 hours
Frozen: 
      Platelet poor plasma: PPP removed from the cells and frozen at -20°C or ideally -70°C.

Rejection Due To

  • Ambient WB specimens >1 hour old
  • Ambient PPP specimens >4 hours old
  • Clotted specimens
  • Underfilled or overfilled tube
  • Hemolysis

Reference Values

13.0-20.0 sec

Cautions

Test is not indicated for patients on heparin therapy.

Method Description

Mechanical clot detection of undiluted plasma in the presence of a predetermined quantity of thrombin, resulting in a fibrin clot.

Performing Lab

Clinical Lab UH

Day(s) Performed

Monday through Sunday

Report Available

Same day/1 day

Reporting Name

Thrombin Time

CPT Code Information

85670

LOINC Code Information

46717-5