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Updated: Jan 20, 2026

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Opioid Consumption after Carotid Revascularization.

Mark D Balceniuk1, Peng Zhao1, Isabelle V Chu1

  • 1Division of Vascular Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY.

Annals of Vascular Surgery
|September 3, 2019
PubMed
Summary
This summary is machine-generated.

Patients undergoing carotid revascularization procedures consume significantly fewer opioid pain pills than prescribed. This study suggests reducing opioid prescriptions after these surgeries may be feasible.

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Area of Science:

  • Vascular Surgery
  • Pain Management
  • Public Health

Background:

  • Opioid overdose is a leading cause of death in the US, with overprescription contributing to the epidemic.
  • Previous research indicates opioid overprescription after general surgery.
  • This study focuses on opioid use following carotid revascularization procedures.

Purpose of the Study:

  • To evaluate and compare opioid prescriptions with actual patient consumption after carotid revascularization.
  • To identify potential reductions in opioid prescribing for these procedures.

Main Methods:

  • Retrospective review of opioid prescriptions for patients undergoing carotid endarterectomy (CEA) or transcarotid arterial revascularization (TCAR).
  • Phone surveys were used to determine actual opioid consumption.
  • Comparison of prescribed versus consumed opioid pills was the primary outcome.

Main Results:

  • 209 patients were included; 47% received opioid prescriptions post-discharge.
  • 1,623 opioid pills were prescribed, averaging 25.4 per patient.
  • Only 336 pills (5.3 per patient) were consumed, with 79% of prescribed opioids remaining unused.

Conclusions:

  • This is the first study to directly compare opioid prescription and consumption after carotid revascularization.
  • Patients consume substantially less opioids than prescribed.
  • Findings suggest a potential to reduce opioid prescriptions for patients after carotid revascularization.