Question

A 71-year-old with AF on apixaban needs colonoscopy with polypectomy (moderate bleeding risk). Renal function normal. Per CHEST, how to manage apixaban?

Accepted Answer

Hold 48 hours before; resume 48-72 hours after if haemostasis secure

Answer

Continue without interruption

Answer

Hold 24 hours before; resume same day

Answer

Bridge with LMWH during interruption

Answer

Switch to warfarin

Practice question

A 71-year-old with AF on apixaban needs colonoscopy with polypectomy (moderate bleeding risk). Renal function normal. Per CHEST, how to manage apixaban?