A 63-year-old man with chronic AF and prior GI bleed is maintained on apixaban. He needs an elective colonoscopy with polypectomy. Renal function is n...

Question

A 63-year-old man with chronic AF and prior GI bleed is maintained on apixaban. He needs an elective colonoscopy with polypectomy. Renal function is normal. Which periprocedural plan is appropriate?

Accepted Answer

Hold apixaban 48-72 hours before the procedure without bridging; resume after haemostasis

Answer

Continue apixaban without interruption

Answer

Bridge with therapeutic LMWH for 5 days

Answer

Switch to warfarin for the procedure

Answer

Stop apixaban 7 days before regardless of renal function

us-abim MCQ (SBA): Periprocedural Anticoagulation-DOAC

A 63-year-old man with chronic AF and prior GI bleed is maintained on apixaban. He needs an elective colonoscopy with polypectomy. Renal function is normal. Which periprocedural plan is appropriate?