A 74-year-old with atrial fibrillation undergoing elective colonoscopy with anticipated polypectomy is on apixaban 5 mg BID. CrCl 50 mL/min. What is t...

Question

A 74-year-old with atrial fibrillation undergoing elective colonoscopy with anticipated polypectomy is on apixaban 5 mg BID. CrCl 50 mL/min. What is the recommended periprocedural management?

Accepted Answer

Hold apixaban for 48 hours before the procedure without bridging

Answer

CrCl 50 mL/min. What is the recommended periprocedural management?

Answer

Continue apixaban through the procedure

Answer

Bridge with therapeutic LMWH after stopping apixaban

Answer

Hold morning dose only

perioperative anticoagulation MCQ (SBA): Moderate

A 74-year-old with atrial fibrillation undergoing elective colonoscopy with anticipated polypectomy is on apixaban 5 mg BID. CrCl 50 mL/min. What is the recommended periprocedural management?