Test Code LAB3751 Anti-Xa for Rivaroxaban Level
Clinical System Name
Anti-Xa for Rivaroxaban Level
Synonyms
Anti 10A
Anti Factor X
AntiXa
Factor 10A
Xarelto
anti factor 10
anti-factor 10
anti-factor X
antiXa
Sample Requirements
Specimen: Whole Blood
Container(s): Lt. Blue/Citrate
Preferred Vol: (3) 1.8 mL or (1) 2.7 mL
Minimum Vol: (2) 1.8 mL
Note: Preferred method of collection is venipuncture with vacuum fill. Test results are affected by incorrect blood volume. Use of a Vascular Access Device for the collection of coag testing is not recommended.
Please review the Anticoagulant Job Aid for additional collection instructions for patients with lines.
Processing Instructions
Reject due to: Clotted, hemolyzed, insufficient quantity, or improper collection.
Spin: Y
Aliquot: Y
Temp: -70 C
Storage Location: Core 6 Freezer (-70 C) Send Outs rack.
Note: Deliver blood to Core Coag bench. Coag Technologist will process. Specimen should be centrifuged within ONE hour of collection. Spin whole blood, remove plasma. Transfer upper 3/4 layer of plasma to plastic tube and make two aliquots of 0.6 mL, affix large Cerner label and store in -70 freezer, Send Out rack.
Off-site Collection: Preferred method of collection is venipuncture with vacuum fill. Test results are affected by incorrect blood volume. Use of a Vascular Access Device for the collection of coag testing is not recommended. If this method is used it requires a 5 cc clearing volume; 3 cc for size 2 French catheter or smaller. Blood must be trasferred to the Lt Blue/Citrate tube by use of the blood transfer device.
Specimen should be centrifuged within ONE hour of collection. Double spin, transfer upper 3/4 layer of plasma to plastic tube affixed with large computer label. Freeze 2 aliquots of 0.6 mL plasma in plastic tubes at -70C. Ship frozen on dry ice.
Stability
Specimen Type | Temperature | Time |
Citrated Platelet-Poor Plasma | Room Temp | N |
Refrigerated | N | |
Frozen | Y |
Availability
STAT | Performed | TAT |
Y, w/Approval | Daily | 1 d |
Performing Laboratory
University of Washington Medical Center
Clinical Coagulation Lab
1959 NE Pacific Street
Room NW220
Seattle, WA 98195
Phone Number: (206) 520-4600
Department
Department: Send Outs
Phone Number: (206) 987-2563
CPT Codes
80299
Methodology
Method: Chromogenic
Analytical Volume: 0.5 mL Citrate Plasma
Limitations:
Send Out Instructions
Reference Test Name: | Anti-Xa for Rivaroxaban Level |
Reference Test Code: | RIVAR1 |
Instructions: | Send out Monday through Friday with the UW courier. |
Description
The ability of patient plasma to inhibit a chromogenic assay for activated factor X is measured. The rivaroxaban concentration is determined by comparing the inhibition of factor Xa by patient plasma to a calibration curve generated using known concentrations of rivaroxaban.
Reference Ranges
See individual components.