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Alternative names
Christmas factor assay; Serum factor IXDefinition Return to top
This is a blood test that measures the activity of factor IX -- one of the substances involved in coagulation (blood clotting).How the test is performed Return to top
Blood is drawn from a vein, usually from the inside of the elbow or the back of the hand. The puncture site is cleaned with antiseptic, and an elastic band is placed around the upper arm to apply pressure and restrict blood flow through the vein. This causes veins below the band to swell with blood.
A needle is inserted into the vein, and the blood is collected in an air-tight vial or a syringe. During the procedure, the band is removed to restore circulation. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.
For infants or young children, the area is cleansed with antiseptic and punctured with a sharp needle or a lancet. The blood may be collected in a pipette (small glass tube), on a slide, onto a test strip, or into a small container. Cotton or a bandage may be applied to the puncture site if there is any continued bleeding.
How to prepare for the test Return to top
The health care provider may advise you to stop taking drugs that may affect the test. (See Special Considerations.)
For infants and children, the preparation you can provide for this test depends on your child's age, previous experiences, and level of trust. For general information regarding how you can prepare your child, see the following:
How the test will feel Return to top
When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.Why the test is performed Return to top
This test is used to detect the specific cause of excessive bleeding (decreased blood clotting).Normal Values Return to top
A normal value is 50-200% of the laboratory "control" or reference value.What abnormal results mean Return to top
Decreased factor IX activity may indicate:What the risks are Return to top
Special considerations Return to top
Coagulation (blood clotting) results from a sequence of reactions involving several proteins known as coagulation factors. Some of these factors have other names. For example, Factor I is also called fibrinogen, Factor II is prothrombin, and Factor XII is Hageman factor. The liver produces these proteins and secretes them into the blood. In addition, vitamin K is important to blood clotting because your body converts it into prothrombin.
Some people take warfarin to keep their blood from clotting. Warfarin inhibits prothrombin, thus interrupting the clotting cascade. Because of the link between vitamin K and prothrombin, people who take warfarin need to have consistent levels of vitamin K in their diet, as instructed by their doctor.
Coagulation begins when some of the coagulation factors contact damaged tissue. Each factor reaction triggers the next reaction, in a cascade. The final product of the coagulation cascade is the blood clot.
Substances that inhibit or "turn off" the action of the coagulation factors are activated along with the coagulation factors. These substances function more slowly, over a longer period of time, than the coagulation factors. This allows a clot to form, stopping the bleeding, then, after enough time has passed for the tissue to heal, the clot is dissolved and blood flow restored. The most important coagulation inhibitor is antithrombin III.
Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.
Update Date: 6/1/2003 Updated by: Marcia S. Brose, M.D., Ph.D., Division of Hematology/Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
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Page last updated: 28 October 2004 |