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This assay is performed using the Chromogenix COATEST APC
Resistance V Kit on the ACL TOP. The method uses a modified
APTT test to detect APC-resistance. The plasma specimen is
prediluted in factor V-deficient plasma. Then the APTT test is
performed by incubating patient plasma with a standardized amount
of platelet-like phospholipids and activator of the contact factors of
the intrinsic coagulation pathway, followed by recalcification of
plasma and measurement of clotting time.
The ratio of the APTT test with and without added APC is reported as
the APC resistance (or sensitivity) ratio. (Kapiotis S, Quehenberger P,
Jilma B, et al: Improved characteristics of APC resistance assay,
COATEST APC resistance by predilution of samples with factor V
deficient plasma. Am J Clin Pathol 1996;106:588-593; Fryburger G,
Javorschi S, Labrouche S, Bernard P: Proposal for objective
evaluation of the performance of various functional APC-resistance
tests in genotyped patients. Thromb Haemost 1997;78:1360-1365;
Hall C, Andersson N, Andras M, et al: Evaluation of a modified APTT-
based method for determination of APC resistance in plasma from
patients on heparin or oral anticoagulant therapy. Thromb Res 1998;89:
203-209)