Table 2.
PFT device | Specimen | PFT technique | Laboratory requirement/point of care (POC) | Agonist reagents/Cartridges |
---|---|---|---|---|
Light transmission aggregometry (LTA) [105] | Platelet rich plasma (PRP) | Optical light transmission aggregometry | Requiring trained lab staff and laboratory facility to do the test | ADP, arachidonic acid, epinephrine |
| ||||
Multiple electrode platelet aggregometry (MEA) [105] | Whole blood | Impedance aggregometry | Semiautomated | ADP, arachidonic acid, collagen |
| ||||
VerifyNow® system (VN) [106] | Whole blood | Optical light transmission aggregometry | Fully automated, POC | P2Y12 kit Aspirin kit GP IIb/IIIa kit |
| ||||
Platelets function analyser (PFA-100) [109–111] | Whole blood | High shear force dynamic flow system | Semiautomated, POC | Collagen with ADP Collagen with epinephrine |
| ||||
Impact-R [110] | Whole blood | Shear stress platelet adhesion | Requiring trained lab staff and laboratory facility to do the test. Extensive sample handling is needed | ADP |
| ||||
Vasodilator-stimulated phosphoprotein phosphorylation assay using flow cytometry (VASP-P) [107, 108] | Whole blood | Flow cytometric fluorescent quantification of intraplatelet VASP | Requiring trained lab staff, intensive lab work, sample preparation | VASP-P2Y12 assay |
| ||||
Platelet works (PW) [110] | Whole blood | Single platelet count | Semiautomated | ADP |
POC: point of care, ADP: adenosine diphosphate, GP IIb/IIIa: glycoprotein IIb/IIIa, and VASP-P: vasodilator-stimulated phosphoprotein phosphorylation. P2Y12 kit: VerifyNow kit designed to test the P2Y12 receptor blockade to assess the response to P2Y12 inhibitors. Aspirin kit: VerifyNow kit designed to test the response to aspirin via arachidonic acid initiated reaction. GP IIb/IIIa kit: VerifyNow kit designed to test the response to GP IIb/IIIa inhibitors. VASP/P2Y12 assay: VASP phosphorylation correlates with the P2Y12 receptor inhibition.