Question

A 67-year-old with chronic AF is scheduled for colonoscopy with anticipated biopsies. He is on warfarin with INR 2.4. What is the recommended preprocedure plan?

Accepted Answer

Hold warfarin for ~5 days before and resume <24 hours after if hemostasis; no routine bridging

Answer

Bridge with LMWH for all AF patients

Answer

Stop warfarin morning of the procedure only

Answer

Switch to DOAC for 1 week

Answer

Continue warfarin through all procedures

Practice question

A 67-year-old with chronic AF is scheduled for colonoscopy with anticipated biopsies. He is on warfarin with INR 2.4. What is the recommended preprocedure plan?