Veripath Test Directory

Epic Test Name D-Dimer
Components
Synonyms Fibrin Split Products; FSP
Description The d-dimer is a quantitative determination of cross-linked fibrin degradation products in human plasma. The d-dimer assay can be used to rule out deep vein thrombosis (DVT) and pulmonary embolism (PE) when in patients with low clinical probability.
Specimen Requirements 
Container 3 mL Light blue (3.2% sodium citrate) collection tube
Specimen Type Blood
Preferred Collection Volume 3 mL
Minimum Collection Volume Adult: 2 mL, Neonates : 2 mL
Collection Instructions When drawing specimens for coagulation testing, always draw a "pilot" tube (7-10ml plain red top tube), completely filled. This removes tissue fluid contamination. Samples should be obtained from peripheral vein wheneever possible. If drawn from indwelling catheter, the line should be flushed with 15mL of saline. After irrigation, a "pilot" tube should be drawn and discarded.
Specimen Handling In-house patients, transport at room temperature.
Out-side client, follow collection instructions and the steps below:
1. Spin light blue top tube. Remove plasma avoiding platelet/buffy coat layer. Spin plasma again to remove top portion of plasma ans place 1mL of PLATELET-POOR PLASMA in plastic tube. (Glass tube unacceptable). Double-centrifugation is critical for accurate results as platelet contamination may cause erroneous results.
2. Plasma must be frozen within 4 hours of collection. CRITICAL WARNING: Specimens must remain frozen until ready to test. Submit separate aliquots when multiple tests are ordered on the same patient specimen.
Rejection Criteria Hemolysis, clotted, thawed, short sample, >4 hrs old.
Methodology ELISA
Reference Range <0.59 mg/L FEU
CPT Code(s) 85379
Department Hemostasis/Coagulation
Contact Information Hemostasis Lab; 214-633-4959 Customer Service: 214-633-0400, Toll Free 1-877-887-8136
Turn Around Time1 day
Performed Sunday - Saturday
Performed by Hemostasis Lab
Link
Notes Testing must be performed within 4 hours. Fill tube as far as vacuum will fill and mix gently. Ratio of anticoagulant and blood must be maintained. Avoid slow flowing draws and traumatic venipunctures. Always draw another tube before the blue top tube, this removes tissue fluid contamination.

Updated/Reviewed 07/23/2016


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