A 68-year-old with nonvalvular AF on apixaban needs an elective high-bleeding-risk abdominal surgery. Renal function is normal. Per CHEST guidance, ho...

Question

A 68-year-old with nonvalvular AF on apixaban needs an elective high-bleeding-risk abdominal surgery. Renal function is normal. Per CHEST guidance, how should apixaban be managed?

Accepted Answer

Hold apixaban for 2 days before surgery

Answer

Continue through surgery

Answer

Stop morning of surgery only

Answer

Hold apixaban for 7 days before surgery

Answer

Bridge with LMWH after stopping apixaban

us-abim MCQ (SBA): Perioperative Anticoagulation

A 68-year-old with nonvalvular AF on apixaban needs an elective high-bleeding-risk abdominal surgery. Renal function is normal. Per CHEST guidance, how should apixaban be managed?