A 61-year-old with AF on warfarin (INR in range) is scheduled for cataract surgery. He has no mechanical valve and no recent stroke. Perioperatively, ...

Question

A 61-year-old with AF on warfarin (INR in range) is scheduled for cataract surgery. He has no mechanical valve and no recent stroke. Perioperatively, what is recommended?

Accepted Answer

Continue warfarin without heparin bridging for this low-bleeding-risk procedure

Answer

Stop warfarin 10 days before and bridge with LMWH

Answer

Stop warfarin 5 days before regardless of bleeding risk

Answer

Switch to DOAC 2 days pre-op

Answer

Hold aspirin and start heparin infusion

us-abim MCQ (SBA): Perioperative Anticoagulation

A 61-year-old with AF on warfarin (INR in range) is scheduled for cataract surgery. He has no mechanical valve and no recent stroke. Perioperatively, what is recommended?