A 61-year-old with nonvalvular AF is planned for elective colon resection, on apixaban for stroke prevention. Normal renal function, CHA₂DS₂-VASc 4. A...

Question

A 61-year-old with nonvalvular AF is planned for elective colon resection, on apixaban for stroke prevention. Normal renal function, CHA₂DS₂-VASc 4. According to perioperative antithrombotic guidance, what is the recommended bridging strategy?

Accepted Answer

No bridging anticoagulation when interrupting a DOAC

Answer

Bridge with therapeutic LMWH when apixaban is held

Answer

Bridge with IV heparin infusion

Answer

Continue apixaban through surgery

Answer

Switch to warfarin and bridge

us-abim MCQ (SBA): Perioperative Anticoagulation

A 61-year-old with nonvalvular AF is planned for elective colon resection, on apixaban for stroke prevention. Normal renal function, CHA₂DS₂-VASc 4. According to perioperative antithrombotic guidance, what is the recommended bridging strategy?