A 72-year-old on apixaban 5 mg BID for AF needs elective colonoscopy with possible polypectomy (high bleeding risk). eGFR 70. Perioperative plan?...

Question

A 72-year-old on apixaban 5 mg BID for AF needs elective colonoscopy with possible polypectomy (high bleeding risk). eGFR 70. Perioperative plan?

Accepted Answer

Hold apixaban 1-2 days before; resume 48-72 hours after

Answer

Continue apixaban through procedure

Answer

Bridge with therapeutic LMWH

Answer

Stop 7 days prior

Answer

Switch to warfarin for procedure

us-abim MCQ (SBA): Perioperative DOAC Management