A 63-year-old with symptomatic severe aortic stenosis and planned TAVR takes apixaban for AF. Per perioperative guidance, how should apixaban be manag...

Question

A 63-year-old with symptomatic severe aortic stenosis and planned TAVR takes apixaban for AF. Per perioperative guidance, how should apixaban be managed for high-bleeding-risk procedure? (CrCl 60)

Accepted Answer

Hold 24 hours before

Answer

how should apixaban be managed for high-bleeding-risk procedure? (CrCl 60)

Answer

Continue apixaban through TAVR

Answer

Hold 48-72 hours before procedure

Answer

Stop 7 days before and bridge with LMWH

"moderate" MCQ (SBA): Cardiology

A 63-year-old with symptomatic severe aortic stenosis and planned TAVR takes apixaban for AF. Per perioperative guidance, how should apixaban be managed for high-bleeding-risk procedure? (CrCl 60)