A 72-year-old with nonvalvular AF (CHA₂DS₂-VASc 2) on warfarin is scheduled for elective colonoscopy with possible polypectomy. Normal renal function;...

Question

A 72-year-old with nonvalvular AF (CHA₂DS₂-VASc 2) on warfarin is scheduled for elective colonoscopy with possible polypectomy. Normal renal function; no prior stroke or mechanical valve. Perioperative anticoagulation plan?

Accepted Answer

Hold warfarin 5 days without bridging

Answer

Continue warfarin without interruption

Answer

Hold warfarin and bridge with therapeutic LMWH

Answer

Switch to DOAC 1 week before the procedure

Answer

Add aspirin and continue warfarin

us-abim MCQ (SBA): Perioperative Anticoagulation

A 72-year-old with nonvalvular AF (CHA₂DS₂-VASc 2) on warfarin is scheduled for elective colonoscopy with possible polypectomy. Normal renal function; no prior stroke or mechanical valve. Perioperative anticoagulation plan?