Ristocetin Cofactor Test: Comprehensive Platelet Function Analysis
Understanding the Ristocetin Cofactor Test
The Ristocetin Cofactor Test represents a cornerstone diagnostic procedure in modern hematology, specifically designed to evaluate platelet function and von Willebrand factor (vWF) activity. This sophisticated laboratory analysis plays a critical role in identifying bleeding disorders that conventional coagulation tests might miss. By measuring how platelets respond to the antibiotic ristocetin, this test provides invaluable insights into the complex interactions between platelets and von Willebrand factor—a key protein in the blood clotting cascade.
When platelet function is compromised, individuals may experience excessive bleeding, easy bruising, or prolonged bleeding from minor injuries. The Ristocetin Cofactor Test serves as an essential diagnostic tool for hematologists seeking to understand the underlying causes of these symptoms and develop appropriate treatment strategies.
What the Test Measures and Detects
The Ristocetin Cofactor Test specifically evaluates:
- Platelet agglutination response to ristocetin
- Von Willebrand factor activity and functionality
- Platelet membrane receptor integrity (GP Ib/IX/V complex)
- Overall platelet aggregation capacity
- Presence of von Willebrand disease subtypes
- Platelet-type von Willebrand disease
This test utilizes the platelet agglutination method to measure how effectively platelets bind to von Willebrand factor in the presence of ristocetin. Reduced agglutination typically indicates von Willebrand disease or other platelet function disorders, while enhanced agglutination may suggest platelet-type von Willebrand disease.
Who Should Consider This Test
This specialized hematological assessment is recommended for individuals experiencing:
- Unexplained excessive bleeding or bruising
- Prolonged bleeding from minor cuts or injuries
- Frequent nosebleeds without apparent cause
- Heavy or prolonged menstrual bleeding
- Excessive bleeding following dental procedures or surgery
- Family history of bleeding disorders
- Abnormal bleeding time test results
- Suspected von Willebrand disease
- Platelet function disorders
Clinical Indications Include:
Patients with thromboembolic disorders requiring comprehensive coagulation profiling, individuals with abnormal platelet counts, and those preparing for surgical procedures where bleeding risk assessment is crucial should consider this test. It’s particularly important for patients who have experienced bleeding complications during previous medical procedures.
Benefits of Taking the Ristocetin Cofactor Test
- Accurate Diagnosis: Provides definitive information about platelet function and von Willebrand factor activity
- Personalized Treatment: Enables healthcare providers to develop targeted treatment plans
- Risk Assessment: Helps evaluate bleeding risk before surgical procedures
- Family Planning: Provides valuable information for genetic counseling in hereditary bleeding disorders
- Treatment Monitoring: Assists in monitoring response to von Willebrand factor replacement therapy
- Comprehensive Evaluation: Complements other coagulation tests for complete bleeding disorder assessment
Understanding Your Test Results
Your Ristocetin Cofactor Test results will provide critical information about your platelet function:
Normal Results
Normal ristocetin cofactor activity typically falls within established reference ranges, indicating proper platelet function and adequate von Willebrand factor activity. This suggests that your platelets are responding appropriately to clotting stimuli.
Abnormal Results – Decreased Activity
Reduced ristocetin cofactor activity may indicate:
- Von Willebrand disease (various types)
- Acquired von Willebrand syndrome
- Platelet function defects
- Certain medication effects
Abnormal Results – Increased Activity
Enhanced platelet agglutination may suggest:
- Platelet-type von Willebrand disease
- Other rare platelet disorders
Your hematologist will interpret your results in the context of your clinical symptoms, medical history, and other laboratory findings to provide comprehensive diagnostic insights.
Test Pricing and Availability
| Test Description | Price (USD) |
|---|---|
| Ristocetin Cofactor Test – Discount Price | $500 |
| Ristocetin Cofactor Test – Regular Price | $626 |
Nationwide Testing Availability
We proudly offer the Ristocetin Cofactor Test at our state-of-the-art facilities across the United States. Our network includes specialized testing centers in major metropolitan areas including New York, Los Angeles, Chicago, Houston, Phoenix, Philadelphia, San Antonio, San Diego, Dallas, and San Jose. Each facility maintains the highest standards of laboratory excellence and patient care.
Sample Requirements and Processing
Sample Type: 3 mL whole blood in 1 Blue Top (Sodium Citrate) tube
Processing Instructions: Mix thoroughly by inversion. Transport to lab within 4 hours. If immediate transport isn’t possible, prepare platelet-poor plasma (PPP) within 1 hour of collection through specific centrifugation protocols. FREEZE IMMEDIATELY and ship frozen. DO NOT THAW.
Turnaround Time: Sample by 7th of the month; Report after 2-3 weeks
Pre-test Requirements: Overnight fasting is mandatory. Duly filled Coagulation Requisition Form (Form 15) AND Test Send Out Consent Form (Form 35) is mandatory.
Take Control of Your Health Today
Don’t let unexplained bleeding symptoms compromise your quality of life. The Ristocetin Cofactor Test provides the definitive answers you need for proper diagnosis and effective treatment. Our experienced hematology specialists and advanced laboratory technology ensure accurate, reliable results you can trust.
Ready to schedule your test? Contact us today at +1(267) 388-9828 to book your appointment or speak with our hematology specialists. Take the first step toward understanding your platelet function and achieving better health outcomes.

