A 70-year-old with atrial fibrillation on apixaban requires elective low-bleeding-risk procedure. Normal renal function. How to manage apixaban?...

Question

A 70-year-old with atrial fibrillation on apixaban requires elective low-bleeding-risk procedure. Normal renal function. How to manage apixaban?

Accepted Answer

Hold 24 hours prior without bridging; resume after hemostasis

Answer

Bridge with LMWH

Answer

Continue without interruption for all procedures

Answer

Hold 72 hours regardless of renal function

Answer

Switch temporarily to warfarin

Perioperative DOAC Management — MRCP Part 1 MCQ