A 59-year-old man with epistaxis and melena is on warfarin for AF (INR 2.7). He requires elective colonoscopy with possible polypectomy. Per CHEST 202...

Question

A 59-year-old man with epistaxis and melena is on warfarin for AF (INR 2.7). He requires elective colonoscopy with possible polypectomy. Per CHEST 2022, what is the typical plan?

Accepted Answer

Hold warfarin ~5 days pre-procedure; no routine bridging; resume

Answer

Continue warfarin and bridge with LMWH

Answer

Convert to DOAC for 1 week

Answer

Stop warfarin morning of procedure only

Answer

Increase warfarin dose prior to procedure

us-abim MCQ (SBA): Periprocedural Anticoagulation

A 59-year-old man with epistaxis and melena is on warfarin for AF (INR 2.7). He requires elective colonoscopy with possible polypectomy. Per CHEST 2022, what is the typical plan?