Question

A 72-year-old with nonvalvular AF on warfarin is scheduled for elective hernia repair. He is average thromboembolic risk and has no recent stroke. What is recommended regarding bridging?

Accepted Answer

Do not use heparin bridging for most AF patients when interrupting VKA

Answer

Bridge with therapeutic LMWH when warfarin is held

Answer

Bridge only if INR <2 on day of surgery

Answer

Switch to IV heparin 48 hours prior

Answer

Continue warfarin through surgery

Practice question

A 72-year-old with nonvalvular AF on warfarin is scheduled for elective hernia repair. He is average thromboembolic risk and has no recent stroke. What is recommended regarding bridging?