D-dimer - AQT90 Flex

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Description: The D-dimer test is intended for use as an aid in the diagnosis of venous thromboembolism (deep vein thrombosis (DVT) and pulmonary embolism (PE)).
Preparation:

DOCUMENTS TO DOWNLOAD

You can download the Standard Operating Procedure for this device in HERE

Guidance for Managing Patients Using POCT AQT90 D-dimer - HERE

Sample requirements:

Whole blood venous samples for D-dimer analysis should be collected into into an evacuated
lithium heparin anticoagulated blood tube.
Mix the sample by gentle inversion at least 5 times as soon as it is drawn.
The minimum sample volume is 2mL.
Samples should be labelled with at least three points of patient identification.
Samples may be kept at an ambient temperature of 18-25ºC and should be analysed within 3 hours of
collection
Do not use tubes that contain a gel

Interference:

Please, refer to Guidance for Managing Patients Using POCT AQT90 D-dimer available to download on "Preparation" section. 

Important Information: A D-dimer result below the age-adjusted clinical decision limit can rule-out VTE with >99% negative predictive value. If a POCT result is in doubt, repeat on POCT with a fresh sample. Note that D-dimer may be raised in a number of conditions unrelated to a VTE.
Comments: Use a NICE- aligned pathway , including the use of Wells score for clinical assessment and to determine the need for D-dimer testing. NICE NG158 for DVT (deep vein thrombosis) or PE (pulmonary embolism) or local Trust pathways. D-dimer should not be used in patients with high clinical probability of PE or in isolation for the rule-out of high probability DVT.

Reference Range

Please, refer to Standard Operating Procedure available to download on "Preparation" section.