A 61-year-old undergoing elective inguinal hernia repair on warfarin for AF (CHA₂DS₂‑VASc 3). What does CHEST recommend regarding bridging?...

Question

A 61-year-old undergoing elective inguinal hernia repair on warfarin for AF (CHA₂DS₂‑VASc 3). What does CHEST recommend regarding bridging?

Accepted Answer

Do not bridge for most AF patients; stop warfarin ~5 days before

Answer

Bridge with LMWH for all AF patients

Answer

Continue warfarin through surgery

Answer

Switch to DOAC for 1 week

Answer

Stop warfarin 2 days before without INR check

us-abim MCQ (SBA): Perioperative Anticoagulation (Warfarin)