A 64-year-old on apixaban for AF is scheduled for an elective high-bleeding-risk surgery (normal renal function). Per CHEST 2022, how should apixaban ...

Question

A 64-year-old on apixaban for AF is scheduled for an elective high-bleeding-risk surgery (normal renal function). Per CHEST 2022, how should apixaban be managed?

Accepted Answer

Hold apixaban 48-72 hours pre-op without bridging

Answer

Continue apixaban; no interruption needed

Answer

Stop 24 hours pre-op only

Answer

Bridge with LMWH after holding 48 hours

Answer

Switch to warfarin 1 week pre-op

us-abfm MCQ (SBA): Perioperative Anticoagulation

A 64-year-old on apixaban for AF is scheduled for an elective high-bleeding-risk surgery (normal renal function). Per CHEST 2022, how should apixaban be managed?