A 58-year-old man needs elective hernia repair. He takes apixaban 5 mg BID for AF (normal renal function). According to perioperative antithrombotic g...

Question

A 58-year-old man needs elective hernia repair. He takes apixaban 5 mg BID for AF (normal renal function). According to perioperative antithrombotic guidance, how should apixaban be managed for a low bleeding-risk procedure?

Accepted Answer

Hold 24 hours before; resume ~24 hours post-op if haemostasis secure

Answer

Continue apixaban without interruption

Answer

Hold 72 hours before; bridge with LMWH; resume day 3

Answer

Switch to warfarin 1 week pre-op; reverse on day of surgery

Answer

Give vitamin K 10 mg the day prior

us-abim MCQ (SBA): Perioperative Anticoagulation

A 58-year-old man needs elective hernia repair. He takes apixaban 5 mg BID for AF (normal renal function). According to perioperative antithrombotic guidance, how should apixaban be managed for a low bleeding-risk procedure?