However, this balance is poorer and less unstable than that of a healthy individual and small changes in any of its components can alter it. This could explain the presentation of complications such as thrombosis and bleeding 44. Alterations in the hemostatic system in patients with liver disease taken and modified from : Lisman T, Caldwell SH, Burroughs AK, Northup PG, Senzolo M, Stravitz RT, et al. Hemostasis and thrombosis in patients with liver disease: the ups and downs. J Hepatol.
No obstante, este balance es más precario e inestable comparado con el de un individuo sano, de tal manera que es posible que pequeños cambios en alguno de sus componentes puedan alterarlo; esto podría explicar la presentación de complicaciones como sangrado o trombosis 44.