A 72-year-old with nonvalvular AF on warfarin needs elective hernia repair (moderate bleeding risk). According to contemporary guidance, what is recom...

Question

A 72-year-old with nonvalvular AF on warfarin needs elective hernia repair (moderate bleeding risk). According to contemporary guidance, what is recommended regarding perioperative bridging?

Accepted Answer

Do not bridge; interrupt warfarin appropriately without heparin in most AF patients

Answer

Bridge with therapeutic LMWH during warfarin interruption for all AF patients

Answer

Switch to DOAC solely for the procedure

Answer

Continue warfarin through the procedure

Answer

Use aspirin as a bridge

us-abim MCQ (SBA): Perioperative Anticoagulation

A 72-year-old with nonvalvular AF on warfarin needs elective hernia repair (moderate bleeding risk). According to contemporary guidance, what is recommended regarding perioperative bridging?