Cell-Based Model of Hemostasis Hematology Review 352
Xa•Va
VIIa•
TF
Tissue-factor bearing
cell (fibroblast)
TF
VIIa•
IXa•VIIIa
Xa
Va•
(Small amount
of thrombin)
Free vWF
VIIIa
VIIIa
- vWF
1. Initiation
3. Propagation
2. Amplification
Platelet
Va
XIa
XI
IIa
II
II
IIa
(Large amounts
of thrombin)
X
X
IXa
IX
IX
XIa
Activated platelet
(From Harmening DM. Clinical
Hematology and Fundamentals
of Hemostasis, 5th ed. Philadel-
phia: FA Davis; 2009:569.)