Question

A 72-year-old with atrial fibrillation (CHA₂DS₂-VASc 5) is planned for elective colon cancer surgery. On rivaroxaban 20 mg daily, CrCl 65 mL/min. Perioperative plan for high-bleeding-risk surgery?

Accepted Answer

Hold 48 hours prior; no bridging

Answer

Hold 24 hours prior; no bridging

Answer

Switch to heparin bridge after stopping

Answer

Continue rivaroxaban

Answer

Hold 72 hours and bridge with LMWH

Practice question

A 72-year-old with atrial fibrillation (CHA₂DS₂-VASc 5) is planned for elective colon cancer surgery. On rivaroxaban 20 mg daily, CrCl 65 mL/min. Perioperative plan for high-bleeding-risk surgery?