A 72‑year‑old with nonvalvular AF (CHA₂DS₂‑VASc 2) is scheduled for colonoscopy with polypectomy. On warfarin with therapeutic INR. What is the peri‑p...

Question

A 72‑year‑old with nonvalvular AF (CHA₂DS₂‑VASc 2) is scheduled for colonoscopy with polypectomy. On warfarin with therapeutic INR. What is the peri‑procedural plan?

Accepted Answer

Stop warfarin 5 days prior without bridging

Answer

Continue warfarin through procedure

Answer

Stop warfarin 5 days prior and bridge with therapeutic LMWH

Answer

Convert to DOAC 1 week before

Answer

Stop warfarin the day before only

Periprocedural Warfarin-Bridging — MRCP Part 1 MCQ

A 72‑year‑old with nonvalvular AF (CHA₂DS₂‑VASc 2) is scheduled for colonoscopy with polypectomy. On warfarin with therapeutic INR. What is the peri‑procedural plan?