Laboratory Medicine Program

Euglobulin Clot Lysis Time
(ELT)

Clinical Decription:
Euglobulin Clot Lysis Time is a global measure of fibrinolytic activity. The euglobulin plasma fraction (fibrinogen, plasminogen, plasmin and plasminogen activators but excluding anti-plasmins) is isolated, clotted with thrombin then timed to dissolution. Normally lysis proceeds slowly with a clot still present at 90 minutes. Disappearance before this time point indicates hyperfibrinolysis.

Method: Manual

Component Tests Used: n/a

Reference Ranges Used:
> 90 minutes

Specimen Type: Citrated plasma
Collected In: 3.2% Sodium Citrate
Volume: 2.0 mL (minimum: 2.0 mL)

Shipping: Send frozen on dry ice.

Special Instructions: Patient should be fasting, if possible. Anticoagulants should be held for a requisite amount of time prior to testing to ensure no anticoagulant effect on the plasma. The specimen must be double-centrifuged to obtain a platelet-poor plasma specimen (Plt <10x10E9/L): 1. Immediately centrifuge specimen at 1500xG for 10 minutes. 2. Separate the plasma from the platelet/buffy coat and transfer into a clean plastic tube. 3. Centrifuge the separated plasma at 1500xG for 10 minutes. 4. Transfer 1.0 to 2.0 mL of the double-centrifuged plasma into a clean plastic tube, leaving approx. 200 uL for discard. 5. Freeze plasma aliquot immediately for storage. Maintain frozen for shipping and handling.

Testing Schedule(s): Weekly.

Turnaround Time: 5 days

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For more information, call 416.340.5227 or 1.866.865.5227

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