A 79-year-old woman with AF and CHA₂DS₂‑VASc 3 is scheduled for colonoscopy with polypectomy (high bleeding risk). She takes apixaban. Per CHEST perio...

Question

A 79-year-old woman with AF and CHA₂DS₂‑VASc 3 is scheduled for colonoscopy with polypectomy (high bleeding risk). She takes apixaban. Per CHEST perioperative guidance, which management is appropriate?

Accepted Answer

Hold apixaban 48 hours before; resume after hemostasis without bridging

Answer

Switch to warfarin

Answer

Continue apixaban without interruption

Answer

Bridge with therapeutic LMWH

Answer

Hold for 7 days

ukmla MCQ (SBA): Atrial Fibrillation

A 79-year-old woman with AF and CHA₂DS₂‑VASc 3 is scheduled for colonoscopy with polypectomy (high bleeding risk). She takes apixaban. Per CHEST perioperative guidance, which management is appropriate?