Question

A 68-year-old with nonvalvular AF on apixaban (eGFR 70) is scheduled for colonoscopy with anticipated polypectomy. How should anticoagulation be managed?

Accepted Answer

Hold apixaban 48 hours before the procedure; do not bridge

Answer

Continue apixaban through the procedure

Answer

Hold apixaban and bridge with therapeutic LMWH

Answer

Stop apixaban 7 days prior

Answer

Switch to warfarin 2 weeks before procedure

Practice question

A 68-year-old with nonvalvular AF on apixaban (eGFR 70) is scheduled for colonoscopy with anticipated polypectomy. How should anticoagulation be managed?