A 61-year-old with chronic AF on warfarin (INR goal 2-3) requires elective cholecystectomy and has no prior stroke/TIA or mechanical valve. Per CHEST,...

Question

A 61-year-old with chronic AF on warfarin (INR goal 2-3) requires elective cholecystectomy and has no prior stroke/TIA or mechanical valve. Per CHEST, bridging?

Accepted Answer

No bridging; hold warfarin appropriately pre-op

Answer

Bridge with therapeutic LMWH

Answer

Switch to DOAC for the procedure

Answer

Increase warfarin dose pre-op

Answer

Continue warfarin through surgery

us-abim MCQ (SBA): Perioperative Anticoagulation

A 61-year-old with chronic AF on warfarin (INR goal 2-3) requires elective cholecystectomy and has no prior stroke/TIA or mechanical valve. Per CHEST, bridging?