Question

A 60-year-old with AF on apixaban 5 mg bid is scheduled for colonoscopy with polypectomy (moderate bleeding risk). Normal renal function. According to CHEST, what is the optimal interruption?

Accepted Answer

Hold for ~48-72 hours before; resume 24 hours after if haemostasis

Answer

Continue apixaban through procedure

Answer

Hold 12 hours before only

Answer

Bridge with LMWH

Answer

Switch to warfarin temporarily

Practice question

A 60-year-old with AF on apixaban 5 mg bid is scheduled for colonoscopy with polypectomy (moderate bleeding risk). Normal renal function. According to CHEST, what is the optimal interruption?