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Primary Hemostasis

Platelet Adhesion

Platelet adhesion is the initial step in the formation of the hemostatic plug. When injury occurs to the endothelium, platelets escape from the blood vessel. Under the high shear flow stress at the site of injury, they come in contact with and adhere to subendothelial tissues. Platelets immediately begin to adhere with the help of vWF, forming bridges or connections between platelet surface molecule glycoprotein Ib and components on the subendothelium (mostly collagen fibers). This process continues with attachment of platelet receptors to several adhesive proteins in the matrix of connective tissue. Other platelets spread in a similar fashion, covering the collagen surface with a single layer of platelets.1,2

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