Ristocetin Cofactor

Overview

  • EPIC Code:
  • LAB2639
  • Soft Test Code:
  • Send Out Test Code:
  • 4459
Alternate Names
  • RcoF
  • RIST1
  • Von Willbrand Ristocetin COF
  • von Willebrand Factor Activity
Clinical Significance

von Willebrand disease is the most common hereditary bleeding disorder. von Willebrand Factor is necessary for platelet adhesion to injured endothelium. Ristocetin cofactor is useful in assessing binding of von Willebrand Factor to platelet factor GP1b. When combined with other tests, results are useful in categorizing the type of von Willebrand disease.


Specimen Collection & Preparation

Specimen Requirements

1.0 mL platelet poor plasma from a Blue Top Tube - 3.2% Na Citrate in a Plastic Vial


Transport And Storage

6 hours Ambient
30 days Frozen -20°
1 year Frozen -70°


Collection Instructions

Please submit a separate, frozen vial for each special coagulation assay ordered. 

Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection.
Using a plastic pipette, remove plasma, taking care to avoid WBS/platelet buffy layer and place into a plastic vial.
Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/mcL). 
Freeze immediately and ship on dry ice. 


Minimum Volume

0.5 mL PP Plasma


Neonatal Volume

Clinical Interpretation

Reference Range:

50% - 150%


Methodology:
  • Platelet Agglutination
Clinical Significance

von Willebrand disease is the most common hereditary bleeding disorder. von Willebrand Factor is necessary for platelet adhesion to injured endothelium. Ristocetin cofactor is useful in assessing binding of von Willebrand Factor to platelet factor GP1b. When combined with other tests, results are useful in categorizing the type of von Willebrand disease.


Production Schedule

Sites Performed
  • Quest - Chantilly
Days Performed
Monday
Thursday
Saturday
Departments
  • Sendouts - Clinical
Turn Around Time

3 to 5 days


Coding & Compliance

CDM

00915245


CPT Coding

85245