A 62-year-old with nonvalvular AF on warfarin (stable INR 2.3) is scheduled for low-bleeding-risk dental extraction. CHADS2-VASc 3, no prior stroke. W...

Question

A 62-year-old with nonvalvular AF on warfarin (stable INR 2.3) is scheduled for low-bleeding-risk dental extraction. CHADS2-VASc 3, no prior stroke. What is recommended for perioperative anticoagulation?

Accepted Answer

Continue warfarin without bridging

Answer

Bridge with therapeutic LMWH

Answer

Stop warfarin and bridge with heparin only if INR

Answer

Switch to DOAC for procedure then back to warfarin

Answer

Stop warfarin 7 days prior and do no bridging

us-abim MCQ (SBA): Perioperative Anticoagulation

A 62-year-old with nonvalvular AF on warfarin (stable INR 2.3) is scheduled for low-bleeding-risk dental extraction. CHADS2-VASc 3, no prior stroke. What is recommended for perioperative anticoagulation?