A 68-year-old with AF on apixaban is scheduled for an elective low-bleeding-risk procedure. What is the best periprocedural plan?...

Question

A 68-year-old with AF on apixaban is scheduled for an elective low-bleeding-risk procedure. What is the best periprocedural plan?

Accepted Answer

Hold apixaban 48 hours before; no heparin bridging

Answer

Continue apixaban through the procedure

Answer

Bridge with therapeutic LMWH

Answer

Switch to warfarin temporarily

Answer

Hold only the morning dose

us-abim MCQ (SBA): Perioperative Anticoagulation