A 72-year-old man with paroxysmal AF on warfarin (CHA₂DS₂‑VASc 2) is scheduled for elective colonoscopy with polypectomy (moderate bleeding risk). Wha...

Question

A 72-year-old man with paroxysmal AF on warfarin (CHA₂DS₂‑VASc 2) is scheduled for elective colonoscopy with polypectomy (moderate bleeding risk). What is the recommended bridging strategy?

Accepted Answer

Stop warfarin 5 days prior without bridging in low-to-moderate thromboembolic risk AF

Answer

Stop warfarin 5 days prior; bridge with therapeutic LMWH

Answer

Continue warfarin through procedure

Answer

Switch to DOAC for 1 week then hold

Answer

Bridge only if INR

us-abim MCQ (SBA): Perioperative Anticoagulation

A 72-year-old man with paroxysmal AF on warfarin (CHA₂DS₂‑VASc 2) is scheduled for elective colonoscopy with polypectomy (moderate bleeding risk). What is the recommended bridging strategy?