Question

A 56-year-old with AF on apixaban needs urgent surgery in 12 hours with moderate bleeding risk and normal renal function. What perioperative strategy is appropriate?

Accepted Answer

Hold apixaban ~24-48 hours prior based on bleeding risk; no heparin bridging

Answer

Continue apixaban without interruption

Answer

Bridge with LMWH

Answer

Switch temporarily to warfarin

Answer

Give vitamin K to reverse apixaban

Practice question

A 56-year-old with AF on apixaban needs urgent surgery in 12 hours with moderate bleeding risk and normal renal function. What perioperative strategy is appropriate?