A 69-year-old with nonvalvular AF (CHA₂DS₂‑VASc 4) on warfarin (INR 2.4) is scheduled for screening colonoscopy with anticipated polypectomy. No prior...

Question

A 69-year-old with nonvalvular AF (CHA₂DS₂‑VASc 4) on warfarin (INR 2.4) is scheduled for screening colonoscopy with anticipated polypectomy. No prior stroke/TIA, no mechanical valve. What is the periprocedural anticoagulation plan?

Accepted Answer

Hold warfarin without bridging

Answer

Bridge with therapeutic LMWH when warfarin held

Answer

Continue warfarin through procedure

Answer

Switch to DOAC for the procedure

Answer

Add aspirin while warfarin is held

us-abim MCQ (SBA): Periprocedural Anticoagulation

A 69-year-old with nonvalvular AF (CHA₂DS₂‑VASc 4) on warfarin (INR 2.4) is scheduled for screening colonoscopy with anticipated polypectomy. No prior stroke/TIA, no mechanical valve. What is the periprocedural anticoagulation plan?