Fondaparinux Activity Assay

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General Information

Lab Name
Fondaparinux Activity Assay
Lab Code
FNDXT
Epic Ordering
Fondaparinux Activity Assay
Description

UW Medicine Anticoagulation Services

Synonyms
Arixtra, Fondaparinux assay

Interpretation

Method

This method determines a factor Xa inhibitor level by measuring the inhibition of factor Xa cleavage of a chromogenic substrate. Because no exogenous antithrombin is added in this assay, and because antithrombin plays a significant role in factor Xa inhibition with heparin, low molecular weight heparin, or fondaparinux, patients with lower antithrombin levels (<70%) may demonstrate lower anti-Xa activity.

Reference Range
Units: mcg/mL
Ref. Range Notes

No therapeutic range has been established. For more information, see link above ("UW Medicine Anticoagulation Services")

Ordering & Collection

Specimen Type
Blood
Collection

2mL, 3mL or 5 mL BLUE TOP tube

Approval Required
LMR approval required if to be ordered as STAT
Handling Instructions
Quantity
requested: entire sample
minimum: 2 mL Blue top tube

Processing

Processing

Take entire sample to Coagulation. UW-MT Coagulation will Process whole blood samples if arrive in Coag lab within 4 hrs of draw. This is not to be ordered as STAT, Call LMR for approval if so.

Outside Laboratories and HMC Coagulation: Centrifuge sample 10 minutes at 2500g, remove plasma, respin plasma 10 minutes at 2500g, freeze upper ¾ plasma and transport to UW-MT Coagulation Lab frozen.

Performance

LIS Dept Code
Coagulation (COAG)
Performing Location(s)
UW-MT Coagulation
206-520-4600

Clinical Lab, Room NW220,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195

Frequency
Daily
Available STAT?
NO

Billing & Coding

CPT codes
80299
LOINC
74217-1
Interfaced Order Code
UOW2554
Interfaced Result Code
UOW2554