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In Vitro Thrombosis Test for Ventricular Assist Devices
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[Mixing test for prolonged clotting time: clinical availability and problems].

Mitsuhiro Uchiba1, Yukio Ando

  • 1Department of Blood Transfusion and Cell Therapy, Kumamoto University Hospital, Kumamoto 860-8556, Japan. mituhiro-uchiba@fc.kuh.kumamoto-u.ac.jp

Rinsho Byori. the Japanese Journal of Clinical Pathology
|November 26, 2009
PubMed
Summary
This summary is machine-generated.

Prothrombin time (PT) and activated partial thromboplastin time (APTT) are essential for diagnosing bleeding disorders. Mixing tests help differentiate causes of prolonged clotting times, including inhibitors and heparin contamination.

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Area of Science:

  • Hematology
  • Clinical Pathology

Context:

  • Prothrombin time (PT) and activated partial thromboplastin time (APTT) are fundamental coagulation assays.
  • Prolonged clotting times can indicate bleeding disorders, inhibitors, or artifactitious causes like heparin contamination.

Purpose:

  • To summarize the causes of prolonged clotting times.
  • To highlight the utility of mixing tests in differentiating these abnormalities.

Summary:

  • This review discusses the differential diagnosis of prolonged clotting times.
  • It covers causes such as congenital hemophilia, lupus anticoagulant, factor inhibitors, and heparin contamination.
  • The diagnostic value of mixing tests is emphasized for accurate patient management.

Impact:

  • Provides a concise overview for clinicians and laboratory professionals.
  • Aids in the accurate diagnosis and management of coagulation disorders.
  • Improves understanding of inhibitor-related bleeding conditions.