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Platelets and Coagulation

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Abstract

Platelets play an important role in normal hemostasis by direct effects at the site of vascular injury and by indirect effects through interaction with the hemostatic cascades of circulating blood (Fig. 1.1A-D). Under abnormal circumstances, such as those related to genesis factors of atherosclerosis or factors that prevail during neurointerventional procedures, platelet function plays an important role in the pathogenesis of occlusive and thrombotic complications. Arterial thrombus is frequently described as “white thrombus” composed of densely packed platelets and fibrin. This is in contrast to the loosely packed “red thrombus” of venous thrombosis which contains a greater proportion of erythrocytes. For safe neurointerventional work within the arteries, familiarity with the currently available antiplatelet and antithrombotic drugs is necessary.

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Morris, P. (2002). Platelets and Coagulation. In: Interventional and Endovascular Therapy of the Nervous System. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3673-1_1

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