A 64-year-old with atrial fibrillation on apixaban 5 mg BID is scheduled for elective colonoscopy with polypectomy. Normal renal function. Per periope...

Question

A 64-year-old with atrial fibrillation on apixaban 5 mg BID is scheduled for elective colonoscopy with polypectomy. Normal renal function. Per perioperative antithrombotic guideline, what is the best management?

Accepted Answer

Hold apixaban 24-48 hours before procedure without heparin bridging

Answer

Continue apixaban without interruption

Answer

Bridge with therapeutic LMWH when apixaban held

Answer

Switch to warfarin before procedure

Answer

Stop apixaban 7 days prior

us-abim MCQ (SBA): Perioperative Anticoagulation

A 64-year-old with atrial fibrillation on apixaban 5 mg BID is scheduled for elective colonoscopy with polypectomy. Normal renal function. Per perioperative antithrombotic guideline, what is the best management?