A 72-year-old with nonvalvular AF on warfarin (INR goal 2-3) is scheduled for elective colonoscopy with polypectomy. CHADS-VASc 3, no recent stroke. B...

Question

A 72-year-old with nonvalvular AF on warfarin (INR goal 2-3) is scheduled for elective colonoscopy with polypectomy. CHADS-VASc 3, no recent stroke. Best perioperative plan?

Accepted Answer

Switch to DOAC for 1 week

Answer

Continue warfarin through procedure

Answer

Stop warfarin 2 days prior; bridge with LMWH

Answer

Hold warfarin 5 days prior; no bridging

Answer

Bridge all AF patients regardless of risk

us-abim MCQ (SBA): Perioperative Anticoagulation

A 72-year-old with nonvalvular AF on warfarin (INR goal 2-3) is scheduled for elective colonoscopy with polypectomy. CHADS-VASc 3, no recent stroke. Best perioperative plan?