Question

A 70-year-old on warfarin for AF (target INR 2-3) is scheduled for elective colonoscopy without anticipated polypectomy. What periprocedural plan is reasonable?

Accepted Answer

Continue warfarin for low-bleeding-risk endoscopy

Answer

Hold warfarin for 7 days with LMWH bridge

Answer

Switch to DOAC for the procedure

Answer

Stop warfarin day before only

Answer

Stop warfarin and bridge with IV heparin

Practice question

A 70-year-old on warfarin for AF (target INR 2-3) is scheduled for elective colonoscopy without anticipated polypectomy. What periprocedural plan is reasonable?