A 71-year-old with AF on apixaban 5 mg BID needs elective colonoscopy with anticipated polypectomy (high bleeding risk). Normal renal function. Per pe...

Question

A 71-year-old with AF on apixaban 5 mg BID needs elective colonoscopy with anticipated polypectomy (high bleeding risk). Normal renal function. Per perioperative guidance, how should apixaban be managed?

Accepted Answer

Hold apixaban for ~2 days before the procedure without heparin bridging

Answer

Continue apixaban without interruption

Answer

Stop apixaban for 7 days and bridge with LMWH

Answer

Switch to warfarin 1 week prior

Answer

Hold morning dose only

us-abim MCQ (SBA): Periprocedural Anticoagulation

A 71-year-old with AF on apixaban 5 mg BID needs elective colonoscopy with anticipated polypectomy (high bleeding risk). Normal renal function. Per perioperative guidance, how should apixaban be managed?