A 64-year-old with nonvalvular AF on stable warfarin (INR 2.4) asks about stopping and bridging for dental extraction. Best approach?...

Question

A 64-year-old with nonvalvular AF on stable warfarin (INR 2.4) asks about stopping and bridging for dental extraction. Best approach?

Accepted Answer

Continue warfarin without bridging for simple extraction

Answer

Hold warfarin and bridge with therapeutic LMWH

Answer

Switch to DOAC for a week, then stop day before

Answer

Stop warfarin 5 days prior without bridging in all cases

Answer

Give dual antiplatelet therapy instead of anticoagulation

us-abim MCQ (SBA): Periprocedural Anticoagulation (AF)