Question

A 70-year-old woman with persistent AF requires elective colonoscopy with polypectomy. She is on apixaban 5 mg bd, eGFR 60. Periprocedural plan?

Accepted Answer

Stop apixaban 48-72 h before; restart 24 h after once haemostasis secure

Answer

Continue apixaban without interruption

Answer

Stop apixaban 24 h before and restart same day

Answer

Bridge with LMWH for all DOACs

Answer

Switch to warfarin temporarily

Practice question

A 70-year-old woman with persistent AF requires elective colonoscopy with polypectomy. She is on apixaban 5 mg bd, eGFR 60. Periprocedural plan?