Question

A 69-year-old on warfarin for nonvalvular AF (target INR 2-3) is scheduled for elective inguinal hernia repair; CHA₂DS₂‑VASc is 3, no recent stroke/TIA. What perioperative strategy is recommended?

Accepted Answer

Stop warfarin 5 days prior without heparin bridging

Answer

Stop warfarin 5 days prior and bridge with therapeutic LMWH

Answer

Continue warfarin through surgery

Answer

Switch to DOAC 2 days before surgery

Answer

Hold warfarin morning of surgery only

Practice question

A 69-year-old on warfarin for nonvalvular AF (target INR 2-3) is scheduled for elective inguinal hernia repair; CHA₂DS₂‑VASc is 3, no recent stroke/TIA. What perioperative strategy is recommended?