A 63-year-old man with AF (no valve disease) undergoes low-bleeding-risk skin excision. He takes apixaban 5 mg twice daily and has normal renal functi...

Question

A 63-year-old man with AF (no valve disease) undergoes low-bleeding-risk skin excision. He takes apixaban 5 mg twice daily and has normal renal function. According to perioperative guidance, how should apixaban be managed?

Accepted Answer

Hold apixaban for ~24 hours before the procedure and resume >24 hours after

Answer

Continue apixaban without interruption

Answer

Hold apixaban the morning of procedure only

Answer

Bridge with therapeutic LMWH and hold apixaban 48 hours

Answer

Switch to warfarin 5 days prior

us-abim MCQ (SBA): Perioperative Anticoagulation

A 63-year-old man with AF (no valve disease) undergoes low-bleeding-risk skin excision. He takes apixaban 5 mg twice daily and has normal renal function. According to perioperative guidance, how should apixaban be managed?