A 61-year-old with AF on apixaban requires elective colonoscopy with low bleeding risk. Creatinine clearance 65 mL/min. What is the periprocedural pla...

Question

A 61-year-old with AF on apixaban requires elective colonoscopy with low bleeding risk. Creatinine clearance 65 mL/min. What is the periprocedural plan?

Accepted Answer

Hold apixaban 24 hours before procedure; no bridging

Answer

Continue apixaban without interruption

Answer

Hold apixaban for 3 days and bridge with LMWH

Answer

Switch temporarily to warfarin

Answer

Stop morning dose only; otherwise continue

us-abim MCQ (SBA): Perioperative DOAC Management

A 61-year-old with AF on apixaban requires elective colonoscopy with low bleeding risk. Creatinine clearance 65 mL/min. What is the periprocedural plan?