A 58-year-old on apixaban requires high-risk surgery. Normal renal function. How long before surgery should apixaban generally be stopped?...

Question

A 58-year-old on apixaban requires high-risk surgery. Normal renal function. How long before surgery should apixaban generally be stopped?

Accepted Answer

~2 days for high bleeding risk procedures

Answer

Stop morning of surgery only

Answer

5-7 days routinely

Answer

No hold required

Answer

Bridge with heparin after stopping

us-abim MCQ (SBA): DOAC Pre-op Hold-High Risk