A patient with non-valvular atrial fibrillation and no recent stroke or mechanical valve stops warfarin before high-bleeding-risk elective surgery. Wh...

Question

A patient with non-valvular atrial fibrillation and no recent stroke or mechanical valve stops warfarin before high-bleeding-risk elective surgery. What is the usual bridging approach?

Accepted Answer

Do not use routine therapeutic heparin bridging

Answer

Bridge every patient whose CHA2DS2-VASc score exceeds three

Answer

Use therapeutic low-molecular-weight heparin until the morning of surgery

Answer

Replace warfarin temporarily with a DOAC

Answer

Continue warfarin through every high-risk operation

Atrial Fibrillation — MRCP Part 1 MCQ

A patient with non-valvular atrial fibrillation and no recent stroke or mechanical valve stops warfarin before high-bleeding-risk elective surgery. What is the usual bridging approach?