A 72-year-old man with known atrial fibrillation (AF) and a CHA2DS2-VASc score of 4 is currently taking apixaban 5mg BD. He is scheduled for a routine...

Question

A 72-year-old man with known atrial fibrillation (AF) and a CHA2DS2-VASc score of 4 is currently taking apixaban 5mg BD. He is scheduled for a routine dental extraction under local anaesthetic next week. His renal function is normal (eGFR >60 ml/min/1.73m$^2$). According to BNF and SDCEP guidance, how should his apixaban be managed peri-procedurally?

Accepted Answer

Stop apixaban 48 hours (2 days) before the procedure

Answer

Continue apixaban without interruption

Answer

Stop apixaban 5 days before the procedure

Answer

Reduce apixaban dose to 2.5mg BD for 3 days prior

Answer

Bridge with Low Molecular Weight Heparin (LMWH)

ukmla MCQ (SBA): Atrial Fibrillation, Anticoagulation Management