


A prolonged APTT indicates a potential issue with the intrinsic and common pathways of the coagulation cascade, suggesting a clotting factor deficiency or inhibitor presence. The mixing study helps differentiate between these possibilities. Correction of a prolonged APTT with mixing generally implies a qualitative or quantitative abnormality of one or more clotting factors in the patient plasma. In contrast, failure of APTT to correct completely on mixing suggests the presence of inhibitor in the patient plasma eg. Lupus anticoagulants & inhibitors to specific clotting factors.6 mL Whole blood in 2 Blue Top (Sodium Citrate) tube. Mix thoroughly by inversion. Transport to the Lab within 4 hours. If this is not possible, prepare PPP within 1 hour of collection as follows: Prepare PPP within 1 hour of collection as follows: Centrifuge sample at 3600 rpm for 15 min. & transfer supernatant to a clean plastic tube. Centrifuge this supernatant again at 3600 rpm for 15 mins. & finally transfer the supernatant (PPP) to 1 labelled, clean plastic screw capped vial. FREEZE IMMEDIATELY. Ship frozen. DO NOT THAW.