A 50-year-old with AF and planned elective hernia repair on apixaban asks about perioperative management (low bleeding risk procedure). What is genera...

Question

A 50-year-old with AF and planned elective hernia repair on apixaban asks about perioperative management (low bleeding risk procedure). What is generally recommended?

Accepted Answer

Hold apixaban 24 hours prior without heparin bridging

Answer

Bridge with LMWH

Answer

Continue full-dose apixaban through surgery

Answer

Switch to warfarin a week prior

Answer

Give vitamin K to reverse apixaban

us-abim MCQ (SBA): Perioperative DOAC Management

A 50-year-old with AF and planned elective hernia repair on apixaban asks about perioperative management (low bleeding risk procedure). What is generally recommended?