Question

A 69-year-old man with new atrial flutter is started on apixaban. He asks about colonoscopy in 2 weeks (low bleeding risk). What is the peri-procedural plan?

Accepted Answer

Hold apixaban ~24 hours before procedure without bridging

Answer

Continue apixaban with no interruption

Answer

Hold apixaban 72 hours before regardless of risk

Answer

Bridge with LMWH for all DOACs

Answer

Switch to warfarin for procedures

Practice question

A 69-year-old man with new atrial flutter is started on apixaban. He asks about colonoscopy in 2 weeks (low bleeding risk). What is the peri-procedural plan?