Question

A 68-year-old with AF on apixaban requires a high-bleeding-risk urologic procedure. Creatinine clearance is 80 mL/min. What is the optimal DOAC hold interval?

Accepted Answer

Hold apixaban 48 hours prior without bridging

Answer

Hold apixaban 24 hours prior

Answer

Hold apixaban 12 hours prior

Answer

Hold apixaban 72-96 hours prior routinely

Answer

Switch to LMWH 3 days before

Practice question

A 68-year-old with AF on apixaban requires a high-bleeding-risk urologic procedure. Creatinine clearance is 80 mL/min. What is the optimal DOAC hold interval?