Von Willebrand factor - plasma
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WIL
Synonyms
- Factor VIII-related antigen
- Ristocetin cofactor
- VIII R (related)-Ag
- von Willebrand - factor
- Von Willebrand factor
- VWF:Rco
Specialty
Haematology
Clinical significance
Von Willebrand's disease is a congenital haemorrhagic diathesis (generally inherited as an autosomal dominant), reported to affect 1% of the population and caused by a quantitative or qualitative von Willebrand factor anomaly. Von Willebrand factor has two main functions: it is involved in interactions between platelets and the damaged vascular wall and transports and protects factor VIII in plasma. This accounts for the bio-clinical signs of the disease: increased bleeding time, a prolonged partial activated thromboplastin time and excessive mucosal and cutaneous haemorrhage following minor injury. Biological diagnosis is essentially based on assays of Factor VIII and von Willebrand Factor (activity and antigen). These tests cannot be performed in patients with ongoing inflammatory processes or in pregnant women. Moreover, the patient's blood group must be taken into account because normal Group O subjects habitually have lower levels of von Willebrand's Factor than others.
Preanalytics
- 2 mL :
- Citrated Plasma
- FROZEN
- Freezing within 4 hours
- A tube specifically for this analysis : No
Further information
Enclose the specific clinical information form (R5-INTGB : Haemostasis)
Plasma with platelets removed by double centrifugation: 2500 g 15 min
Send us the ABO blood group result. For desmopressin testing (Octim®, Minirin®) please indicate the time period for each tube (T0, T+1hr etc.)
In the event of screening for von Willebrand disease, ristocetin cofactor activity and factor VIII coagulant activity are carried out first. Von Willebrand factor antigen is performed only performed if the functional assay (activity) is decreased
Could you please provide the us the PFA-100 result, if available
It is advisable to send us a frozen and centrifuged citrate sample in compliance with the GFHT pre-analytical recommendations.
Documents to download
Methodology
Immunological turbidimetric method
Turnaround time
1 day
Biomnis Ivry