Question

A 59-year-old with AF and CHA₂DS₂-VASc 4 is scheduled for colonoscopy with anticipated polypectomy (high bleeding risk). He is on warfarin with good control. What is the recommended bridging approach?

Accepted Answer

No bridging; hold warfarin appropriately before procedure

Answer

Bridge with therapeutic LMWH

Answer

Switch briefly to DOAC

Answer

Continue warfarin through procedure

Answer

Bridge only if INR <2

Practice question

A 59-year-old with AF and CHA₂DS₂-VASc 4 is scheduled for colonoscopy with anticipated polypectomy (high bleeding risk). He is on warfarin with good control. What is the recommended bridging approach?