A 70-year-old man with a history of coronary stents and AF is on dual antiplatelet therapy (aspirin and clopidogrel) and apixaban. He needs a colonosc...

Question

A 70-year-old man with a history of coronary stents and AF is on dual antiplatelet therapy (aspirin and clopidogrel) and apixaban. He needs a colonoscopy with anticipated polypectomy. How should his antithrombotic therapy be managed per BSG/ESGE 2021?

Accepted Answer

Continue aspirin; stop clopidogrel 5 days before and stop apixaban 48 hours before, with cardiology input

Answer

Defer the procedure until dual antiplatelet therapy is completed

Answer

Stop apixaban only

Answer

Continue all agents

Answer

Stop all three agents 7 days before

uk-sce-gastroenterology MCQ (SBA): Antithrombotic Management

A 70-year-old man with a history of coronary stents and AF is on dual antiplatelet therapy (aspirin and clopidogrel) and apixaban. He needs a colonoscopy with anticipated polypectomy. How should his antithrombotic therapy be managed per BSG/ESGE 2021?