A 78-year-old woman on apixaban 5 mg BID for AF is scheduled for colonoscopy with planned polypectomy (high bleeding risk). Renal function is normal. ...

Question

A 78-year-old woman on apixaban 5 mg BID for AF is scheduled for colonoscopy with planned polypectomy (high bleeding risk). Renal function is normal. What is the recommended periprocedural anticoagulation plan?

Accepted Answer

Hold apixaban 2-3 days before the procedure without heparin bridging

Answer

Continue apixaban without interruption

Answer

Hold apixaban the morning of procedure only; bridge with heparin

Answer

Switch to warfarin 1 week prior

Answer

Place an IVC filter for protection

us-abim MCQ (SBA): Periprocedural DOAC Management

A 78-year-old woman on apixaban 5 mg BID for AF is scheduled for colonoscopy with planned polypectomy (high bleeding risk). Renal function is normal. What is the recommended periprocedural anticoagulation plan?