China Journal of Oral and Maxillofacial Surgery ›› 2026, Vol. 24 ›› Issue (1): 89-95.doi: 10.19438/j.cjoms.2026.01.014

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Advances in the study of venous malformations complicated with localized intravascular coagulation

Wang Zilu1, Wang deming2, Su lixin2, Fan Xindong2   

  1. 1. Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200125;
    2. Department of Interventional Therapy, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China
  • Received:2025-04-07 Revised:2025-06-30 Published:2026-02-06

Abstract: Venous malformations(VMs) are congenital low-flow vascular anomalies associated with consumptive coagulopathy, characterized by elevated D-dimer and decreased fibrinogen levels, termed localized intravascular coagulation (LIC). Patients with LIC may present with localized swelling and pain. In rare cases, LIC can progress to severe coagulopathic complications, such as disseminated intravascular coagulation(DIC). This article provided a comprehensive review of the pathophysiology, clinical manifestations, laboratory findings, diagnosis, and treatment of VMs complicated by LIC, aiming to support clinical decision-making in this patient population.

Key words: Venous malformation, Coagulopathy, Localized intravascular coagulation, D-dimer, Fibrinogen

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