A 71-year-old on apixaban for AF is scheduled for an elective high-bleeding-risk abdominal surgery. Creatinine clearance 70 mL/min. What is the recomm...

Question

A 71-year-old on apixaban for AF is scheduled for an elective high-bleeding-risk abdominal surgery. Creatinine clearance 70 mL/min. What is the recommended perioperative plan?

Accepted Answer

Stop apixaban 48 hours before without bridging

Answer

Continue apixaban through surgery

Answer

Stop apixaban 24 hours before without bridging

Answer

Hold apixaban and bridge with LMWH

Answer

Switch to warfarin pre-op

us-usmle-step-3 MCQ (SBA): Perioperative Anticoagulation-DOAC Interruption

A 71-year-old on apixaban for AF is scheduled for an elective high-bleeding-risk abdominal surgery. Creatinine clearance 70 mL/min. What is the recommended perioperative plan?