137 Real-World Implementation of Latex Immunoturbidimetric Platelet Factor 4 Assay for Heparin-Induced Thrombocytopenia Diagnosis at a Large Academic Medical Center

Introduction: Heparin-induced thrombocytopenia (HIT) is a rare complication of heparin use, characterized by increased thrombotic risk. Diagnosis includes calculating the pre-test probability of HIT using the 4T score, running a platelet factor 4 (PF4) assay to screen for anti-heparin/PF4 antibodies, and confirming results with a serotonin release assay (SRA) to assess for platelet activation. Our institution switched from an enzyme-linked immunosorbent PF4 assay batched once daily to a latex immunoturbidimetric assay (LIA) run on-demand.

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Journal
Research and Practice in Thrombosis and Haemostasis
Published
2025-05-01
DOI
https://doi.org/10.1016/j.rpth.2025.102785
Primary Topic
Heparin-Induced Thrombocytopenia and Thrombosis
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article
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article

137 Real-World Implementation of Latex Immunoturbidimetric Platelet Factor 4 Assay for Heparin-Induced Thrombocytopenia Diagnosis at a Large Academic Medical Center

Elisabeth M. Battinelli, Katelyn W. Sylvester, Gustavo Sánchez Torres, Dareen M. Kanaan et al.
Research and Practice in Thrombosis and Haemostasis
Heparin-Induced Thrombocytopenia and Thrombosis
article

137 Real-World Implementation of Latex Immunoturbidimetric Platelet Factor 4 Assay for Heparin-Induced Thrombocytopenia Diagnosis at a Large Academic Medical Center

Elisabeth M. Battinelli, Katelyn W. Sylvester, Gustavo Sánchez Torres, Dareen M. Kanaan, Jean M. Connors, A. Zhang, Daniel C. Dees
article en

Abstract

Introduction: Heparin-induced thrombocytopenia (HIT) is a rare complication of heparin use, characterized by increased thrombotic risk. Diagnosis includes calculating the pre-test probability of HIT using the 4T score, running a platelet factor 4 (PF4) assay to screen for anti-heparin/PF4 antibodies, and confirming results with a serotonin release assay (SRA) to assess for platelet activation. Our institution switched from an enzyme-linked immunosorbent PF4 assay batched once daily to a latex immunoturbidimetric assay (LIA) run on-demand.

Research and Practice in Thrombosis and HaemostasisVol. 9
Brigham and Women's Hospital (US), Brigham and Women's Faulkner Hospital (US)
Partnerships for the goals
Openalex Percentile: Top 78%
Heparin-Induced Thrombocytopenia and Thrombosis
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137 Real-World Implementation of Latex Immunoturbidimetric Platelet Factor 4 Assay for Heparin-Induced Thrombocytopenia Diagnosis at a Large Academic Medical Center — Elisabeth M. Battinelli, Katelyn W. Sylvester, et al. · Research and Practice in Thrombosis and Haemostasis (2025) | TGRS Research Map | TGRS