A 72-year-old on apixaban for AF is scheduled for elective low-bleeding-risk colonoscopy with possible polypectomy (moderate risk). eGFR 80 mL/min/1.7...

Question

A 72-year-old on apixaban for AF is scheduled for elective low-bleeding-risk colonoscopy with possible polypectomy (moderate risk). eGFR 80 mL/min/1.73 m². What is the recommended periprocedural plan?

Accepted Answer

Hold apixaban 2-3 days prior without heparin bridging, resume 24-72 hours post-procedure

Answer

Continue apixaban without interruption

Answer

Stop apixaban 7 days prior and bridge with LMWH

Answer

Switch to warfarin for the month prior

Answer

Administer vitamin K 2 days before

us-abim MCQ (SBA): Periprocedural anticoagulation management

A 72-year-old on apixaban for AF is scheduled for elective low-bleeding-risk colonoscopy with possible polypectomy (moderate risk). eGFR 80 mL/min/1.73 m². What is the recommended periprocedural plan?