Question

A 71‑year‑old on apixaban 5 mg BID for AF needs elective high‑bleeding‑risk abdominal surgery. CrCl 70 mL/min. What is the perioperative plan?

Accepted Answer

Hold apixaban 2 full days pre‑procedure; no heparin bridging

Answer

Continue apixaban through surgery

Answer

Hold apixaban only on the morning of surgery

Answer

Switch to therapeutic LMWH bridging for 3 days

Answer

Convert to warfarin and bridge with heparin

Practice question

A 71‑year‑old on apixaban 5 mg BID for AF needs elective high‑bleeding‑risk abdominal surgery. CrCl 70 mL/min. What is the perioperative plan?