A 63-year-old with AF on rivaroxaban needs colonoscopy with polypectomy (high bleeding risk). Normal renal function. What is recommended?...

Question

A 63-year-old with AF on rivaroxaban needs colonoscopy with polypectomy (high bleeding risk). Normal renal function. What is recommended?

Accepted Answer

Hold for ~48 hours before procedure without bridging

Answer

Continue rivaroxaban without interruption

Answer

Hold for 24 hours only

Answer

Bridge with heparin for 48 hours

Answer

Switch temporarily to warfarin

us-abim MCQ (SBA): Peri-procedural DOAC Management