A 70-year-old with AF and prior stroke on DOAC presents with hip fracture requiring urgent surgery in 24 hours. What perioperative anticoagulation app...

Question

A 70-year-old with AF and prior stroke on DOAC presents with hip fracture requiring urgent surgery in 24 hours. What perioperative anticoagulation approach is appropriate?

Accepted Answer

Hold DOAC per timing based on renal function and bleeding risk; avoid heparin bridging

Answer

Administer vitamin K to reverse DOAC

Answer

Bridge with LMWH at therapeutic dose

Answer

Continue DOAC through surgery

Answer

Switch to warfarin immediately

us-abim MCQ (SBA): Perioperative DOAC Management

A 70-year-old with AF and prior stroke on DOAC presents with hip fracture requiring urgent surgery in 24 hours. What perioperative anticoagulation approach is appropriate?