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Test Code VWFMP von Willebrand Factor Multimer Analysis, Plasma


Specimen Required


Only orderable as part of a coagulation reflex. For more information see:

ALUPP / Lupus Anticoagulant Profile, Plasma

ALBLD / Bleeding Diathesis Profile, Limited, Plasma

AVWPR / von Willebrand Disease Profile, Plasma

 

For more information see Coagulation Guidelines for Specimen Handling and Processing.


Useful For

As a reflex component of several coagulation consultation unit codes, when indicated

 

When results of complementary laboratory tests are abnormally low or discordant (eg, F8A / Coagulation Factor VIII Activity Assay, Plasma; VWACT / von Willebrand Factor Activity, Plasma; and VWAG / von Willebrand Factor Antigen, Plasma)

 

To subtype von Willebrand disease (VWD) (primarily identify variants of type 2 VWD)

 

As an aid in determining appropriate treatment

Method Name

Only orderable as part of a coagulation reflex. For more information see:

ALUPP / Lupus Anticoagulant Profile, Plasma

ALBLD / Bleeding Diathesis Profile, Limited, Plasma

ACBL / Bleeding Diathesis Profile, Comprehensive, Plasma

AVWPR / von Willebrand Disease Profile, Plasma

 

Agarose Gel Electrophoresis

Reporting Name

von Willebrand Factor Multimer, P

Specimen Type

Plasma Na Cit

Specimen Stability Information

Specimen Type Temperature Time Special Container
Plasma Na Cit Frozen 42 days

Reference Values

Only orderable as part of a coagulation reflex. For more information see:

ALUPP / Lupus Anticoagulant Profile, Plasma

ALBLD / Bleeding Diathesis Profile, Limited, Plasma

AVWPR / von Willebrand Disease Profile, Plasma

 

An interpretive report will be provided.

Interpretation

The plasma von Willebrand factor (VWF) multimer analysis is a qualitative visual assessment of the size spectrum and the banding pattern of vWF multimers.

 

This test is used to identify variants of type 2 von Willebrand disease (VWD) that have fewer of the largest multimers, have unusually large multimers, or have qualitatively abnormal "bands" that indicate an abnormal vWF structure.

Clinical Reference

1. Budde U, Schneppenheim R. von Willebrand Factor and von Willebrand Disease. Rev Clin Exp Hematol. 2001;5(4):335-368

2. Ruggeri ZM. Structure and function of von Willebrand Factor: Relationship to von Willebrand's disease. Mayo Clinic Proc. 1991;66(8):847-861

3. Sadler JE. A revised classification of von Willebrand Disease. Thromb Haemost. 1994;71(4):520-525

4. Laffan M, Brown SA, Collins PW, et al. The diagnosis of von Willebrand disease: a guideline from the UK Haemophilia Centre Doctors Organization. Haemophilia. 2004;10(3):199-217

5. Mannucci PM. Treatment of von Willebrand's Disease. N Engl J Med 2004;351(7):683-694

6. Pruthi RK, Daniels TM, Heit JA, et al. Plasma von Willebrand factor multimer quantitative analysis by in-gel immunostaining and infrared fluorescent imaging. Thrombo Res. 2010;126(6):543-549

7. Favaloro EJ and Lippi G. eds. Hemostasis and Thrombosis, Methods and Protocols. Humana Press 2017

Day(s) Performed

Monday, Tuesday

Report Available

7 to 14 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

85247

LOINC Code Information

Test ID Test Order Name Order LOINC Value
VWFMP von Willebrand Factor Multimer, P 32217-2

 

Result ID Test Result Name Result LOINC Value
604411 von Willebrand Factor Multimer, P 32217-2
604412 VWF Multimer Interpretation 48595-3