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26165 TEG Kaolin w/Heparinase

TEG Kaolin w/Heparinase
Test Code: TEGHEP
Synonyms/Keywords

​Heparinase TEG, TEG

Test Components

​Kaolin TEG with Heparinase (R-H, K-H, ANG-H, MA-H, and LY30H)

Useful For

​Assessing if prolonged R (Reaction time) on standard TEG is due to circulating heparin.  TEG (Thromboelastograph) with Heparinase should be ordered along with the TEG assay when patient is on heparin. TEGHEP assay is also helpful to assess presence of heparin in patients post CABG when heparin rebound is suspected and for patients in cardiovascular surgery while on pump or when TEG6S is not available.

Specimen Requirements
Specimen TypePreferred Container/TubeAcceptable Container/TubeSpecimen VolumeSpecimen Minimum Volume
(allows for 1 repeat)		Pediatric Minimum Volume
(no repeat)
​Whole Blood​Citrated Blue Top Tube (BTT)​​Full 3 mL tube ​N/A​N/A
Collection Processing Instructions

​Note: Test is only orderable at MMC – Marshfield

Do not use a needle smaller than a 21 gauge for collection.  Obtain appropriate volume of blood in first tube labeled DISCARD.  Obtain full tubes for sample specimens.  It is best to store tubes by laying them on their side, instead of standing them in a rack.  Deliver to lab immediately. Sample must arrive in lab within 15 minutes of collection.  Cannot be shared with other coagulation tests.

Do not centrifuge sample.  Keep sample at room temperature. Send tubes ASAP in 4" or 6" tube system.  If using 6", use foam inserts in carrier.  Call 1-6363 to notify.

Specimen Stability Information
Specimen TypeTemperatureTime
​Whole Blood​Room Temp​2 hours
Rejection Criteria
Sample greater than 2 hours
​Improper tube
​Clotted sample
​Underfilled tubes
​Mislabeled/unlabeled tubes
​Centrifuged sample
​Refrigerated or frozen samples
Performing Laboratory Information
Performing LocationDay(s) Test PerformedAnalytical TimeMethodology/Instrumentation
Marshfield​​Sunday through Saturday​1 hour​TEG Viscoelastic Clot Assessment
Reference Range Information
Performing LocationResult Code​​Units
Marshfield​ ​ ​ ​ ​​R-H​minutes
​K-H​minutes
​Ang-H​degrees
​MA-H​mm
​LY30H

​%

​No reference ranges for these result codes ​ ​
Synonyms/Keywords

​Heparinase TEG, TEG

Test Components

​Kaolin TEG with Heparinase (R-H, K-H, ANG-H, MA-H, and LY30H)

Ordering Applications
Ordering ApplicationDescription
Cerner​​TEG Kaolin w/Heparinase
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Specimen TypePreferred Container/TubeAcceptable Container/TubeSpecimen VolumeSpecimen Minimum Volume
(allows for 1 repeat)		Pediatric Minimum Volume
(no repeat)
​Whole Blood​Citrated Blue Top Tube (BTT)​​Full 3 mL tube ​N/A​N/A
Collection Processing

​Note: Test is only orderable at MMC – Marshfield

Do not use a needle smaller than a 21 gauge for collection.  Obtain appropriate volume of blood in first tube labeled DISCARD.  Obtain full tubes for sample specimens.  It is best to store tubes by laying them on their side, instead of standing them in a rack.  Deliver to lab immediately. Sample must arrive in lab within 15 minutes of collection.  Cannot be shared with other coagulation tests.

Do not centrifuge sample.  Keep sample at room temperature. Send tubes ASAP in 4" or 6" tube system.  If using 6", use foam inserts in carrier.  Call 1-6363 to notify.

Specimen Stability Information
Specimen TypeTemperatureTime
​Whole Blood​Room Temp​2 hours
Rejection Criteria
Sample greater than 2 hours
​Improper tube
​Clotted sample
​Underfilled tubes
​Mislabeled/unlabeled tubes
​Centrifuged sample
​Refrigerated or frozen samples
Useful For

​Assessing if prolonged R (Reaction time) on standard TEG is due to circulating heparin.  TEG (Thromboelastograph) with Heparinase should be ordered along with the TEG assay when patient is on heparin. TEGHEP assay is also helpful to assess presence of heparin in patients post CABG when heparin rebound is suspected and for patients in cardiovascular surgery while on pump or when TEG6S is not available.

Test Components

​Kaolin TEG with Heparinase (R-H, K-H, ANG-H, MA-H, and LY30H)

Reference Range Information
Performing LocationResult Code​​Units
Marshfield​ ​ ​ ​ ​​R-H​minutes
​K-H​minutes
​Ang-H​degrees
​MA-H​mm
​LY30H

​%

​No reference ranges for these result codes ​ ​
For more information visit:
Performing Laboratory Information
Performing LocationDay(s) Test PerformedAnalytical TimeMethodology/Instrumentation
Marshfield​​Sunday through Saturday​1 hour​TEG Viscoelastic Clot Assessment
For billing questions, see Contacts
For most current information refer to the Marshfield Laboratory online reference manual.