A 67-year-old with AF and CHA₂DS₂-VASc 4 undergoes elective colon surgery. Warfarin is stopped 5 days prior. Per CHEST 2022, what bridging is recommen...

Question

A 67-year-old with AF and CHA₂DS₂-VASc 4 undergoes elective colon surgery. Warfarin is stopped 5 days prior. Per CHEST 2022, what bridging is recommended?

Accepted Answer

No heparin bridging for most AF

Answer

Therapeutic LMWH bridging for all AF

Answer

IV heparin infusion until day of surgery

Answer

Switch to DOAC temporarily

Answer

Aspirin substitution

us-abim MCQ (SBA): Perioperative Anticoagulation

A 67-year-old with AF and CHA₂DS₂-VASc 4 undergoes elective colon surgery. Warfarin is stopped 5 days prior. Per CHEST 2022, what bridging is recommended?