A 63-year-old with AF (CHA₂DS₂‑VASc 3) on warfarin is scheduled for elective hernia repair (low thromboembolic risk, moderate bleeding risk). What is ...

Question

A 63-year-old with AF (CHA₂DS₂‑VASc 3) on warfarin is scheduled for elective hernia repair (low thromboembolic risk, moderate bleeding risk). What is the perioperative anticoagulation plan?

Accepted Answer

Hold warfarin ~5 days pre-op without bridging

Answer

moderate bleeding risk). What is the perioperative anticoagulation plan?

Answer

Bridge with therapeutic LMWH for all AF patients

Answer

Continue warfarin through surgery

Answer

Switch to DOAC 2 days pre-op

moderate MCQ (SBA): Atrial Fibrillation

A 63-year-old with AF (CHA₂DS₂‑VASc 3) on warfarin is scheduled for elective hernia repair (low thromboembolic risk, moderate bleeding risk). What is the perioperative anticoagulation plan?