Question

A 66-year-old man on apixaban for AF requires elective low‑bleeding‑risk dermatologic excision under local anesthesia. CHEST guidance on peri‑procedural management?

Accepted Answer

Stop apixaban 2-3 days before if bleeding risk warrants; no bridging

Answer

Continue apixaban without interruption

Answer

Hold apixaban for 5 days and bridge with LMWH

Answer

Hold apixaban morning of procedure only and bridge with heparin

Answer

Switch to warfarin 1 week prior

Practice question

A 66-year-old man on apixaban for AF requires elective low‑bleeding‑risk dermatologic excision under local anesthesia. CHEST guidance on peri‑procedural management?