Question

A 66-year-old with stable AF and CKD (eGFR 32) is scheduled for partial colectomy (high bleeding risk). He takes apixaban 5 mg BID. What is appropriate perioperative management?

Accepted Answer

Hold apixaban 48 hours without bridging

Answer

Continue apixaban; no interruption needed

Answer

Hold apixaban 24 hours, then bridge with LMWH

Answer

Switch to warfarin 2 weeks prior

Answer

Hold apixaban 7 days prior

Practice question

A 66-year-old with stable AF and CKD (eGFR 32) is scheduled for partial colectomy (high bleeding risk). He takes apixaban 5 mg BID. What is appropriate perioperative management?