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Moderateholding 48-72 hours before procedures with typical bleeding risk is recommended; longer for high‑bleeding‑risk or impaired renal function. Routine bridging is not indicated for DOACs."Cardiology"moderate"

A 73-year-old on apixaban for AF plans elective intermediate-risk noncardiac surgery; CrCl 65 mL/min. According to 2024 perioperative CV guidance, when should apixaban be held pre-op (normal bleeding risk)?

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