Question

A 68-year-old man with atrial fibrillation on apixaban needs an elective colonoscopy with potential polypectomy. Renal function is normal. How should apixaban be managed?

Accepted Answer

Stop 48-72 hours before procedure

Answer

Continue without interruption

Answer

Stop 24 hours before procedure

Answer

Switch to warfarin for bridging

Answer

Give prophylactic LMWH bridging when stopped

Practice question

A 68-year-old man with atrial fibrillation on apixaban needs an elective colonoscopy with potential polypectomy. Renal function is normal. How should apixaban be managed?