Question

A 74-year-old on apixaban 5 mg BID needs elective low-bleeding-risk colonoscopy with polypectomy possible. Renal function normal. Per CHEST guidance, how should apixaban be managed?

Accepted Answer

Hold apixaban 24-48 hours before procedure; no heparin bridging

Answer

Continue apixaban without interruption

Answer

Bridge with therapeutic LMWH after stopping apixaban

Answer

Stop 5 days before regardless of renal function

Answer

Switch to warfarin pre-procedure

Practice question

A 74-year-old on apixaban 5 mg BID needs elective low-bleeding-risk colonoscopy with polypectomy possible. Renal function normal. Per CHEST guidance, how should apixaban be managed?