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MediumCHEST Guideline (2022): Perioperative Management of Antithrombotic TherapyHigh bleeding risk arthroplastyperioperative anticoagulation

A 68-year-old on apixaban 5 mg twice daily for AF is scheduled for an elective total hip arthroplasty (high bleeding risk). eGFR is 80 mL/min/1.73 m². What is the optimal perioperative anticoagulant plan?

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