A 70-year-old with AF and prior ischemic stroke is on apixaban. Needs elective colonoscopy with polypectomy planned (higher bleeding risk). CrCl 65. W...

Question

A 70-year-old with AF and prior ischemic stroke is on apixaban. Needs elective colonoscopy with polypectomy planned (higher bleeding risk). CrCl 65. When should apixaban be held?

Accepted Answer

Hold ~48 hours prior

Answer

Hold 12 hours prior

Answer

No hold needed

Answer

Hold 7 days prior routinely

Answer

Switch to LMWH bridge

us-abim MCQ (SBA): Periprocedural DOAC-High-Risk Procedure

A 70-year-old with AF and prior ischemic stroke is on apixaban. Needs elective colonoscopy with polypectomy planned (higher bleeding risk). CrCl 65. When should apixaban be held?