Question

A 55-year-old with nonvalvular AF on apixaban needs colonoscopy with low bleeding risk polypectomy anticipated. Normal renal function. What DOAC management is appropriate?

Accepted Answer

Hold apixaban 24-48 hours before and resume 24 hours after if hemostasis is secure

Answer

Bridge with LMWH during the hold

Answer

Continue apixaban without interruption for all procedures

Answer

Hold for 7 days preprocedure

Answer

Switch to warfarin 2 weeks before

Practice question

A 55-year-old with nonvalvular AF on apixaban needs colonoscopy with low bleeding risk polypectomy anticipated. Normal renal function. What DOAC management is appropriate?