Factor Identification by Substitution - 1
Specimen requirements:
Fresh whole blood collected in sodium citrate at a 9:1 ratio of blood to anticoagulant
Principle:
The abnormal test (either PT or aPTT) is repeated using a 1:1 dilution of patient plasma with the following plasmas:
Normal plasma
Tested within 2 hours or stored at -20oC for 2 – 5 days
Absorbed plasma
A correction (shortening of time) of abnormal test indicates that the added plasma contains the missing factor
Aged serum