Direct thrombin inhibitors (DTIs) block both circulating and clot-bound thrombin Thrombin generation

Direct thrombin inhibitors (DTIs) block
both circulating and clot-bound thrombin
Thrombin generation
Antithrombin
DTIs: dabigatran
etexilate
Heparin
Conversion of
fibrinogen to fibrin
Amplification
DTIs: dabigatran
etexilate
Blood clot
Clot-bound thrombin
Adapted from Eikelboom J et al. J Am Coll Cardiol 2003;41:70S–8S