A 70-year-old woman with paroxysmal atrial fibrillation and hypertension is taking apixaban for stroke prevention. She is scheduled for an elective co...

Question

A 70-year-old woman with paroxysmal atrial fibrillation and hypertension is taking apixaban for stroke prevention. She is scheduled for an elective colonoscopy with potential polypectomy. Her creatinine clearance is 60 mL/min. Which is the most appropriate periprocedural management of apixaban?

Accepted Answer

Hold apixaban 24-48 hours before the procedure without heparin bridging

Answer

Continue apixaban without interruption

Answer

Hold apixaban 12 hours before the procedure only

Answer

Switch to IV unfractionated heparin 3 days pre-procedure

Answer

Stop apixaban 7 days before the procedure

us-abim MCQ (SBA): Periprocedural Anticoagulation

A 70-year-old woman with paroxysmal atrial fibrillation and hypertension is taking apixaban for stroke prevention. She is scheduled for an elective colonoscopy with potential polypectomy. Her creatinine clearance is 60 mL/min. Which is the most appropriate periprocedural management of apixaban?