Question

A 66-year-old scheduled for elective hip arthroplasty takes rivaroxaban 20 mg nightly for prior DVT; eGFR 78 mL/min/1.73 m². Surgery has high bleeding risk. Per guideline, perioperative plan?

Accepted Answer

Hold rivaroxaban 48 hours before surgery; no bridging

Answer

Continue rivaroxaban

Answer

Hold rivaroxaban 24 hours before surgery; no bridging

Answer

Bridge with therapeutic LMWH while holding rivaroxaban

Answer

Switch to IV heparin 72 hours prior

Practice question

A 66-year-old scheduled for elective hip arthroplasty takes rivaroxaban 20 mg nightly for prior DVT; eGFR 78 mL/min/1.73 m². Surgery has high bleeding risk. Per guideline, perioperative plan?