A 61-year-old man with chronic AF on apixaban has elective colonoscopy with polypectomy planned (standard bleeding risk). Peri-procedural anticoagulat...

Question

A 61-year-old man with chronic AF on apixaban has elective colonoscopy with polypectomy planned (standard bleeding risk). Peri-procedural anticoagulation?

Accepted Answer

Hold apixaban ~48 hours before; no heparin bridging

Answer

Continue apixaban through procedure

Answer

Switch to LMWH bridge

Answer

Stop for 7 days prior

Answer

Convert to warfarin

us-abim MCQ (SBA): Periprocedural DOAC-Endoscopy

A 61-year-old man with chronic AF on apixaban has elective colonoscopy with polypectomy planned (standard bleeding risk). Peri-procedural anticoagulation?