A 73-year-old woman with AF on apixaban is scheduled for high‑bleeding‑risk surgery (e.g., radical prostatectomy). Renal function normal. What is the ...

Question

A 73-year-old woman with AF on apixaban is scheduled for high‑bleeding‑risk surgery (e.g., radical prostatectomy). Renal function normal. What is the recommended perioperative anticoagulant management?

Accepted Answer

Hold apixaban for 48 hours; no heparin bridging

Answer

Continue apixaban through surgery

Answer

Stop apixaban 24 hours before and bridge with LMWH

Answer

Switch to warfarin 1 week before surgery

Answer

Stop apixaban 7 days before

Perioperative Anticoagulation (DOAC) — MRCP Part 1 MCQ

A 73-year-old woman with AF on apixaban is scheduled for high‑bleeding‑risk surgery (e.g., radical prostatectomy). Renal function normal. What is the recommended perioperative anticoagulant management?