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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.