Question

A 64-year-old with chronic AF on apixaban is scheduled for elective colectomy (high bleeding risk). eGFR 70 mL/min/1.73 m². What is the perioperative plan?

Accepted Answer

Hold apixaban for 48-72 hours pre-op; no bridging; resume post-op when hemostasis secure

Answer

Hold apixaban the morning of surgery only; bridge with heparin

Answer

Continue apixaban through surgery

Answer

Switch to warfarin 1 week before

Answer

Hold 7 days pre-op routinely

Practice question

A 64-year-old with chronic AF on apixaban is scheduled for elective colectomy (high bleeding risk). eGFR 70 mL/min/1.73 m². What is the perioperative plan?