A 72-year-old with AF is undergoing colonoscopy with polypectomy planned. He is on apixaban with normal renal function. Per CHEST 2022, how should api...

Question

A 72-year-old with AF is undergoing colonoscopy with polypectomy planned. He is on apixaban with normal renal function. Per CHEST 2022, how should apixaban be managed?

Accepted Answer

Hold apixaban ~48-72 h pre-procedure for high bleeding risk; resume >24 h post-procedure if hemostasis

Answer

Bridge with LMWH

Answer

Continue full-dose without interruption

Answer

Hold morning dose only

Answer

Switch temporarily to warfarin

us-abim MCQ (SBA): DOAC Peri-Procedural Management

A 72-year-old with AF is undergoing colonoscopy with polypectomy planned. He is on apixaban with normal renal function. Per CHEST 2022, how should apixaban be managed?