top of page

BackTable / VI / Podcast / Episode #152

Treating Vascular Anomalies

with Dr. Alex Barnacle

We talk with Dr. Alex Barnacle about her approach to the workup of Vascular Anomalies, including the importance of correct nomenclature and multidisciplinary teams for accurate diagnosis and long-term success.

Sponsored by:

RADPAD® Radiation Protection

Be part of the conversation. Put your sponsored messaging on this episode. Learn how.

Treating Vascular Anomalies with Dr. Alex Barnacle on the BackTable VI Podcast)
Ep 152 Treating Vascular Anomalies with Dr. Alex Barnacle
00:00 / 01:04

BackTable, LLC (Producer). (2021, September 6). Ep. 152 – Treating Vascular Anomalies [Audio podcast]. Retrieved from

Free CME

Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs. Follow the button below to claim your credits on CMEfy.

BackTable CMEfy button

Stay Up To Date



Sign Up:

Podcast Contributors

Dr. Alex Barnacle discusses Treating Vascular Anomalies on the BackTable 152 Podcast

Dr. Alex Barnacle

Dr. Alex Barnacle is a consultant pediatric interventional radiologist with Company NameGreat Ormond Street Hospital for Children NHS Foundation Trust in London.

Dr. Christopher Beck discusses Treating Vascular Anomalies on the BackTable 152 Podcast

Dr. Christopher Beck

Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.

Show Notes

In this episode, Dr. Alex Barnacle and our host Dr. Chris Beck discuss the diagnosis and treatments of different vascular anomalies, as well as considerations in treating a pediatric population.

We start by reviewing the terminology of vascular anomalies, noting that the terms can be complicated and misleading for providers and for patients. Dr. Barnacle explains categories delineated by the ISSVA (International Society for the Study of Vascular Anomalies). She emphasizes the importance of combining imaging and physical examination to correctly differentiate between capillary, venous, lymphatic, and arterial malformations.

Next, Dr. Barnacle highlights the interdisciplinary nature of her joint clinics, which involve a variety of specialties (dermatologists, orthopedic surgeons, plastic surgeons, and others) and physical therapists. All play a role in diagnosing, treating, and following up with patients.

When discussing sclerotherapy, we cover considerations such as sedation, sclerosing agent, two needle technique, and potential complications. Dr. Barnacle talks about managing patient and family expectations, emphasizing that large lesions may require multiple interventions. We conclude by reflecting on the current state of pediatric IR and the future growth of the field.


Commentary on Electrosclerotherapy as a Novel Treatment Option for Hypertrophic Capillary Malformations:

ISSVA Classification for Vascular Anomalies:

ISSVA website:

Disclaimer: The Materials available on are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

Become a BackTable Sponsor

Up Next

Pelvic PT: An Introduction for Interventionalists with Ingrid Harm-Ernandes, PT on the BackTable VI Podcast)
New Innovations in Closure Devices with Dr. Omar Saleh and Dr. Syed Hussain on the BackTable VI Podcast)
Reflections on a Career in Clinical IR with Dr. Alan Matsumoto on the BackTable VI Podcast)
Anesthesia vs. Moderate Sedation: A Spectrum of Care with Dr. Vishal Kumar on the BackTable VI Podcast)
Managing Venous Stent Rethrombosis with the RevCore Device with Dr. Steven Abramowitz and Dr. Angelo Marino on the BackTable VI Podcast)
Iliofemoral Stenting: Decision-Making & Best Practices Explored with Dr. Kush Desai and Dr. Steven Abramowitz on the BackTable VI Podcast)



Learn about Pediatric Interventional Radiology on BackTable VI
Sclerotherapy Procedure Prep
Vascular Anomalies Condition Overview

Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.

bottom of page