Question

A 72-year-year-old man on apixaban for AF is scheduled for elective colon resection (high bleeding risk). Renal function normal. Per CHEST 2022, how should apixaban be managed?

Accepted Answer

Hold apixaban for ~48-72 hours before surgery

Answer

Switch to warfarin 1 week prior

Answer

Continue apixaban through surgery

Answer

Hold apixaban for ~24 hours before surgery

Answer

Bridge with therapeutic LMWH while apixaban is held

Practice question

A 72-year-year-old man on apixaban for AF is scheduled for elective colon resection (high bleeding risk). Renal function normal. Per CHEST 2022, how should apixaban be managed?