A 60-year-old man with nonvalvular AF is scheduled for elective colonoscopy with low bleeding risk. On apixaban. Periprocedural plan?...

Question

A 60-year-old man with nonvalvular AF is scheduled for elective colonoscopy with low bleeding risk. On apixaban. Periprocedural plan?

Accepted Answer

Hold apixaban 24-48 hours before depending on renal function without bridging

Answer

Bridge with LMWH

Answer

Continue full dose regardless

Answer

Stop 7 days in all patients

Answer

Switch to warfarin temporarily

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