A 68-year-old with nonvalvular AF is scheduled for colonoscopy with polypectomy. On apixaban 5 mg BID, eGFR 80, CHA₂DS₂‑VASc 4. Peri-procedural manage...

Question

A 68-year-old with nonvalvular AF is scheduled for colonoscopy with polypectomy. On apixaban 5 mg BID, eGFR 80, CHA₂DS₂‑VASc 4. Peri-procedural management?

Accepted Answer

Stop apixaban 48-72 hours before procedure, no heparin bridging

Answer

Continue apixaban without interruption

Answer

Bridge with LMWH after stopping apixaban

Answer

Stop 24 hours prior only

Answer

Switch to warfarin temporarily

2023 AF Guideline MCQ (SBA): Nonvalvular AF

A 68-year-old with nonvalvular AF is scheduled for colonoscopy with polypectomy. On apixaban 5 mg BID, eGFR 80, CHA₂DS₂‑VASc 4. Peri-procedural management?