A 70-year-old with AF on DOAC is scheduled for elective colonoscopy with polypectomy. Renal function normal. Periprocedural anticoagulation plan?...

Question

A 70-year-old with AF on DOAC is scheduled for elective colonoscopy with polypectomy. Renal function normal. Periprocedural anticoagulation plan?

Accepted Answer

Hold DOAC 48-72 hours before procedure and resume after hemostasis

Answer

Continue DOAC without interruption

Answer

Bridge with LMWH

Answer

Switch to warfarin temporarily

Answer

Stop indefinitely 2 weeks before

Periprocedural Anticoagulation — MRCP Part 1 MCQ