From:  Update on laboratory practice for the diagnosis of lupus anticoagulant and the antiphospholipid syndrome

Summary of the comparison between ISTH and CLSI guidelines for LA detection

CategoryISTH 2020CLSI 2014
Sample preparationDouble centrifugationDouble centrifugation
Assay to usedRVVT and APTTdRVVT and APTT and/or others
Testing orderScreening => mixing & confirmatoryScreening => confirmatory => mixing
Calculations for PL-dependenceNormalized ratio or percentage correctionNormalized ratio or percentage correction
Mixing test

Perform on: mixture with NPP

Interpret with MTC

Perform on: mixture with NPP

Interpret with MTC or ICA

MTC: mixing test-specific cut-off; ICA: index of circulating anticoagulant