A 58-year-old on apixaban for AF is scheduled for elective laparoscopic colectomy (high bleeding risk). Creatinine clearance 70 mL/min. What is the re...

Question

A 58-year-old on apixaban for AF is scheduled for elective laparoscopic colectomy (high bleeding risk). Creatinine clearance 70 mL/min. What is the recommended perioperative DOAC interruption?

Accepted Answer

Hold apixaban for 2 days before and resume 2 days after surgery

Answer

Continue apixaban through surgery

Answer

Hold apixaban the morning of surgery only

Answer

Hold apixaban for 1 day pre-op; resume next day

Answer

Bridge with therapeutic LMWH for 3 days, no DOAC interruption

us-abim MCQ (SBA): Perioperative Anticoagulation (DOAC)

A 58-year-old on apixaban for AF is scheduled for elective laparoscopic colectomy (high bleeding risk). Creatinine clearance 70 mL/min. What is the recommended perioperative DOAC interruption?