A 63-year-old with AF on apixaban needs neuraxial anesthesia for elective hip arthroplasty. How should anticoagulation be managed?...

Question

A 63-year-old with AF on apixaban needs neuraxial anesthesia for elective hip arthroplasty. How should anticoagulation be managed?

Accepted Answer

Hold apixaban per high-bleeding-risk procedure (typically ≥72 h) and follow neuraxial-specific timing

Answer

Proceed without interruption

Answer

Bridge with LMWH while holding apixaban

Answer

Switch to warfarin for easier monitoring

Answer

Stop 12 h prior only

us-abim MCQ (SBA): Perioperative DOAC (Neuraxial)