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Anti-Xa Assay

Anti-Xa Assay

Reference Range

LMWH:

Prophylactic Reference Range 0.1-0.3 IU/mL

Therapeutic Range 0.5-1.0 IU/mL

Therapeutic range for mechanical heart valve during pregnancy 1.0-1.4 IU/mL

Rivaroxaban:

Stroke prevention in NVAF 20mg OD 184-343ng/mL[1]

Treatment of PE/DVT 20mg OD 189-419ng/mL[1]

Treatment of PE/DVT 10mg OD 7-273ng/mL[2]

Treatment of ACS 2.5mg OD 13-123ng/mL[2]

Apixaban:

Stroke prevention in NVAF 5mg BD 91-321ng/mL[1]

Stroke prevention in NVAF 2.5mg BD 69-221ng/mL[2]

Treatment of PE/DVT 10mg BD 111-572ng/mL[2]

Treatment of PE/DVT 5mg BD 59-302ng/mL[1]

Treatment of PE/DVT 2.5mg BD 30-153ng/mL[2]

Fondaparinux:

2.5mg OD 0.39-0.50ug/mL[1]

7.5mg OD 1.20-1.26ug/ml[1]

 

[1] Measurement of heparin, direct oral anti-coagulants and other non-coumarin anti-coagulants and their effects on haemostasis assays: A British Society for Haematology Guideline, Baker et al, Brit J Haematol, 2024

[2] Update of the International Council for Standardization in Haematology Recommendations for Laboratory Measurement of Direct Oral Anticoagulant, Douxfils et al, Thromb Haemost, 2021

  • Turnaround Time: 7 days (Unless urgent by prior arrangement with laboratory)
ADAMTS13 Activity / Inhibitor (IgG)

ADAMTS13 Activity / Inhibitor (IgG)

Reference Range

Reference Ranges are dependent upon methodology:

ADAMTS13 Activity:

ACUSTAR (primary method): 62-118 IU/dL

ELISA (secondary method, used for confirmatory check of equivocal results): 38-110%

ADAMTS13 inhibitor (IgG):

Neg <12 U/mL

Borderline 12-15 U/mL

Positive >15 U/mL

  • Turnaround Time: ADAMTS13 Activity: 6 hours for urgent requests, 7 days for routine requests, ADAMTS13 Inhibitor: 21 days.

ALK IHC & FISH

  • Turnaround Time: IHC - 5-7 days & FISH - 7-10 days

ALK IHC & FISH

  • Turnaround Time: IHC - 5-7 days & FISH - 7-10 days
Adrenocorticotrophic Hormone (ACTH)

Adrenocorticotrophic Hormone (ACTH)

Reference Range

Provided by referral laboratory

  • Turnaround Time: 14 days
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