Perioperative DOAC-Endoscopy — EECC MCQ

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Moderate"Cardiology"Perioperative DOAC-EndoscopyEECC

A 70-year-old on DOAC for AF is scheduled for colonoscopy with polypectomy. Peri-procedural DOAC recommendation?

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Reveal the answer and explanation

Correct answer: B — Hold DOAC before the procedure based on renal function and bleeding risk; resume post-procedure when hemostasis secured

Explanation lettering: E = shown as A · A = shown as D · D = shown as E

Hold DOAC for appropriate interval pre-procedure and resume after hemostasis; no routine bridging. Switching to warfarin or adding aspirin is not indicated (C-E).

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/cardiovascular-conditions