Question

A 75-year-old on warfarin for AF (therapeutic INR) is scheduled for elective inguinal hernia repair (low-moderate bleeding risk). What is recommended?

Accepted Answer

Stop warfarin 5 days before; no routine heparin bridging

Answer

Continue warfarin through the procedure

Answer

Bridge with therapeutic LMWH starting 3 days prior

Answer

Switch to DOAC 1 week prior

Answer

Stop warfarin the morning of surgery only

Practice question

A 75-year-old on warfarin for AF (therapeutic INR) is scheduled for elective inguinal hernia repair (low-moderate bleeding risk). What is recommended?