A 72-year-old woman with AF and CHA2DS2-VASc 5 is on apixaban. She needs urgent high-bleeding-risk surgery. What is the recommended perioperative plan...

Question

A 72-year-old woman with AF and CHA2DS2-VASc 5 is on apixaban. She needs urgent high-bleeding-risk surgery. What is the recommended perioperative plan (normal renal function)?

Accepted Answer

Bridge with heparin when stopping apixaban

Answer

Continue apixaban through surgery

Answer

Stop apixaban 2-3 days before surgery

Answer

Stop morning of surgery only

Answer

Place IVC filter pre-op

us-abim MCQ (SBA): Perioperative Anticoagulation

A 72-year-old woman with AF and CHA2DS2-VASc 5 is on apixaban. She needs urgent high-bleeding-risk surgery. What is the recommended perioperative plan (normal renal function)?