Abstract
Intact endothelium is smooth, lacks thrombogenic proteins on its surface and protects circulating blood from exposure to subendothelial proteins such as collagen. As a result, blood constituents flow freely without adhering to endothelial structures. However, when endothelium is damaged and its integrity is disrupted, subendothelial structures come into contact with the constituents of blood (including coagulation factors and platelets), and this triggers an intricate process responsible for platelet attraction and deposition and, simultaneously, the coagulation cascade.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Mann KG, Nesheim ME, Church WR, et al. Surface dependent reactions of the vitamin K dependent enzyme complexes. Blood 1990;76:1–16.
Badimon L, Badimon JJ. The pathophysiology of thrombus. In: Blann A, Lip GYH, Turpie AGG (eds), Thrombosis in Clinical Practice. London: Taylor & Francis; 2005:1–16.
Rights and permissions
Copyright information
© 2010 Springer Healthcare Ltd, a part of Springer Science+Business Media
About this chapter
Cite this chapter
Tay, K.H., Shantsila, E., Lip, G.Y.H. (2010). The coagulation pathway and approaches to anticoagulation. In: Handbook of Oral Anticoagulation. Springer Healthcare, Tarporley. https://doi.org/10.1007/978-1-908517-08-1_1
Download citation
DOI: https://doi.org/10.1007/978-1-908517-08-1_1
Publisher Name: Springer Healthcare, Tarporley
Print ISBN: 978-1-85873-452-1
Online ISBN: 978-1-908517-08-1
eBook Packages: MedicineMedicine (R0)