A 58-year-old man with AF (CHA₂DS₂-VASc 4) on rivaroxaban will undergo elective inguinal hernia repair (low bleeding risk). Normal renal function. Per...

Question

A 58-year-old man with AF (CHA₂DS₂-VASc 4) on rivaroxaban will undergo elective inguinal hernia repair (low bleeding risk). Normal renal function. Per guidance, how should rivaroxaban be managed?

Accepted Answer

Hold 24 hours before procedure; no bridging

Answer

Continue through surgery

Answer

Hold 48 hours before procedure; bridge with LMWH

Answer

Switch to warfarin

Answer

Hold 72 hours regardless of renal function

DOAC-Low-Risk Procedure — MRCP Part 1 MCQ

A 58-year-old man with AF (CHA₂DS₂-VASc 4) on rivaroxaban will undergo elective inguinal hernia repair (low bleeding risk). Normal renal function. Per guidance, how should rivaroxaban be managed?