A 62-year-old on apixaban for AF and needing a high-bleeding-risk surgery asks about bridging. What is recommended?...

Question

A 62-year-old on apixaban for AF and needing a high-bleeding-risk surgery asks about bridging. What is recommended?

Accepted Answer

Do not bridge DOACs; hold based on procedure risk and renal function

Answer

Bridge with LMWH whenever DOACs are held

Answer

Switch to warfarin and bridge with heparin

Answer

Continue DOACs through surgery

Answer

Increase DOAC dose before surgery

us-abim MCQ (SBA): DOAC Bridging Strategy